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Bressane A, da Cunha Pinto JP, Garcia Goulart AP, César de Castro Medeiros L. Which dimensions of nature contact in Urban Green Spaces most significantly contribute to mental wellbeing? A multidimensional analysis in Brazilian metropolitan cities. Health Place 2024; 89:103335. [PMID: 39154413 DOI: 10.1016/j.healthplace.2024.103335] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/09/2024] [Revised: 07/29/2024] [Accepted: 07/31/2024] [Indexed: 08/20/2024]
Abstract
BACKGROUND Urban environments pose challenges to mental health, an issue that Urban Green Spaces (UGS) can potentially mitigate. While the benefits of nature contact for mental wellbeing are recognized, a multidimensional analysis remains unexplored. PURPOSE This study aims to fill this gap by examining the association between nature contact within UGS and mental health. It underscores the importance of considering multiple dimensions of nature engagement-such as naturalness, intensity, duration, frequency, and infrastructure-in enhancing psychological wellbeing. METHOD A comprehensive analysis, including canonical correlation, multivariate analyses of variance, and Fisher discriminant analysis, was applied to survey data from several Brazilian metropolitan cities to assess how different aspects of nature contact influence mental health. RESULTS AND CONCLUSIONS Findings reveal association between these dimensions and mental wellbeing indicators, highlighting the importance of a multidimensional perspective. PRACTICAL IMPLICATIONS Results advocate for incorporating diverse aspects of nature contact in UGS design and policy-making to enhance urban dwellers' mental health. FUTURE DIRECTIONS Further research should focus on longitudinal studies and explore the mediating effects of socio-demographic factors. Additionally, expanding research to include other developing countries will provide valuable comparative insights.
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Affiliation(s)
- Adriano Bressane
- São Paulo State University (UNESP), Institute of Science and Technology, São José dos Campos City, Brazil; Graduate Program in Civil and Environmental Engineering, São Paulo State University (UNESP), Bauru City, Brazil.
| | - Joao Pedro da Cunha Pinto
- Graduate Program in Civil and Environmental Engineering, São Paulo State University (UNESP), Bauru City, Brazil
| | - Ana Paula Garcia Goulart
- São Paulo State University (UNESP), Institute of Science and Technology, São José dos Campos City, Brazil
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de Bell S, Alejandre JC, Menzel C, Sousa-Silva R, Straka TM, Berzborn S, Bürck-Gemassmer M, Dallimer M, Dayson C, Fisher JC, Haywood A, Herrmann A, Immich G, Keßler CS, Köhler K, Lynch M, Marx V, Michalsen A, Mudu P, Napierala H, Nawrath M, Pfleger S, Quitmann C, Reeves JP, Rozario K, Straff W, Walter K, Wendelboe-Nelson C, Marselle MR, Oh RRY, Bonn A. Nature-based social prescribing programmes: opportunities, challenges, and facilitators for implementation. ENVIRONMENT INTERNATIONAL 2024; 190:108801. [PMID: 38909402 DOI: 10.1016/j.envint.2024.108801] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/01/2024] [Revised: 04/26/2024] [Accepted: 06/03/2024] [Indexed: 06/25/2024]
Abstract
BACKGROUND Evidence on the health benefits of spending time in nature has highlighted the importance of provision of blue and green spaces where people live. The potential for health benefits offered by nature exposure, however, extends beyond health promotion to health treatment. Social prescribing links people with health or social care needs to community-based, non-clinical health and social care interventions to improve health and wellbeing. Nature-based social prescribing (NBSP) is a variant that uses the health-promoting benefits of activities carried out in natural environments, such as gardening and walking. Much current NBSP practice has been developed in the UK, and there is increasing global interest in its implementation. This requires interventions to be adapted for different contexts, considering the needs of populations and the structure of healthcare systems. METHODS This paper presents results from an expert group participatory workshop involving 29 practitioners, researchers, and policymakers from the UK and Germany's health and environmental sectors. Using the UK and Germany, two countries with different healthcare systems and in different developmental stages of NBSP practice, as case studies, we analysed opportunities, challenges, and facilitators for the development and implementation of NBSP. RESULTS We identified five overarching themes for developing, implementing, and evaluating NBSP: Capacity Building; Accessibility and Acceptability; Networks and Collaborations; Standardised Implementation and Evaluation; and Sustainability. We also discuss key strengths, weaknesses, opportunities, and threats for each overarching theme to understand how they could be developed to support NBSP implementation. CONCLUSIONS NBSP could offer significant public health benefits using available blue and green spaces. We offer guidance on how NBSP implementation, from wider policy support to the design and evaluation of individual programmes, could be adapted to different contexts. This research could help inform the development and evaluation of NBSP programmes to support planetary health from local and global scales.
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Affiliation(s)
- Siân de Bell
- Exeter HSDR Evidence Synthesis Centre, University of Exeter, 79 Heavitree Rd, Exeter EX2 4TH, United Kingdom.
| | | | - Claudia Menzel
- Rheinland-Pfälzische Technische Universität Kaiserslautern-Landau, Landau, Germany
| | - Rita Sousa-Silva
- Young Academy for Sustainability Research, Freiburg Institute for Advanced Studies, University of Freiburg, Albertstraße 19, 79104 Freiburg im Breisgau, Germany; Institute of Environmental Sciences, Department of Environmental Biology, Leiden University, P.O. Box 9518, 2300 RA Leiden, the Netherlands
| | - Tanja M Straka
- Institute of Ecology, Technische Universität Berlin, 12165 Berlin, Germany
| | - Susanne Berzborn
- Black Forest National Park, Schwarzwaldhochstraße 2, 77889 Seebach, Germany
| | - Max Bürck-Gemassmer
- KLUG (German Alliance for Climate Change and Health), Hainbuchenstr. 10a, 13465, Berlin, Germany
| | | | - Chris Dayson
- Centre for Regional Economic and Social Research, Sheffield Hallam University, Sheffield S1 2LX, United Kingdom
| | - Jessica C Fisher
- Durrell Institute of Conservation and Ecology, University of Kent, Canterbury CT2 7NR, United Kingdom
| | - Annette Haywood
- Sheffield Centre for Health and Related Research (SCHARR), School of Medicine and Population Health, University of Sheffield, Sheffield S1 4DA, United Kingdom
| | - Alina Herrmann
- Heidelberg Institute of Global Health (HIGH), Faculty of Medicine and University Hospital, Heidelberg University, Heidelberg, Germany; Institute for General Practice, University Hospital Cologne, Medical Faculty University of Cologne, Cologne, Germany
| | - Gisela Immich
- Chair of Public Health and Health Services Research, Faculty of Medicine, LMU Munich, Germany; Pettenkofer School of Public Health, Munich, Germany
| | - Christian S Keßler
- Institute of Social Medicine, Epidemiology and Health Economy, Charité - Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin and Humboldt-Universität zu Berlin, 10117 Berlin, Germany; Department of Internal Medicine and Nature-based Therapies, Immanuel Hospital Berlin, Berlin, Germany
| | | | - Mary Lynch
- Faculty of Nursing & Midwifery, Royal College of Surgeons in Ireland, Dublin, Ireland
| | - Viola Marx
- Dundee City Council, Dundee, United Kingdom
| | - Andreas Michalsen
- Institute of Social Medicine, Epidemiology and Health Economy, Charité - Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin and Humboldt-Universität zu Berlin, 10117 Berlin, Germany; Department of Internal Medicine and Nature-based Therapies, Immanuel Hospital Berlin, Berlin, Germany
| | - Pierpaolo Mudu
- WHO Regional Office for Europe, European Centre for Environment and Health, Bonn, Germany
| | - Hendrik Napierala
- Institute of General Practice and Family Medicine, Charité - Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin and Humboldt Universität zu Berlin, Charitéplatz 1, 10117 Berlin, Germany
| | - Maximilian Nawrath
- Norwegian Institute for Water Research, Økernveien 94, 0579 Oslo, Norway
| | | | - Claudia Quitmann
- Heidelberg Institute of Global Health (HIGH), Faculty of Medicine and University Hospital, Heidelberg University, Heidelberg, Germany
| | | | - Kevin Rozario
- Friedrich Schiller University Jena, Institute of Biodiversity, Dornburger Straße 159, 07743 Jena, Germany; Helmholtz Centre for Environmental Research - UFZ, Department of Ecosystem Services, Permoserstr. 15, 04318 Leipzig, Germany; German Centre for Integrative Biodiversity Research (iDiv) Halle-Jena-Leipzig, Puschstraße 4, 04103 Leipzig, Germany; Leipzig University, Wilhelm Wundt Institute for Psychology, Neumarkt 9, 04109 Leipzig, Germany
| | - Wolfgang Straff
- Umweltbundesamt (German Environment Agency), Wörlitzer Pl. 1, 0684 Dessau-Roßlau, Germany
| | - Katie Walter
- Ullapool Medical Practice, NHS Highland, Ullapool, United Kingdom
| | | | - Melissa R Marselle
- Environmental Psychology Research Group, School of Psychology, University of Surrey, Guildford, United Kingdom
| | - Rachel Rui Ying Oh
- Helmholtz Centre for Environmental Research - UFZ, Department of Ecosystem Services, Permoserstr. 15, 04318 Leipzig, Germany; German Centre for Integrative Biodiversity Research (iDiv) Halle-Jena-Leipzig, Puschstraße 4, 04103 Leipzig, Germany
| | - Aletta Bonn
- Friedrich Schiller University Jena, Institute of Biodiversity, Dornburger Straße 159, 07743 Jena, Germany; Helmholtz Centre for Environmental Research - UFZ, Department of Ecosystem Services, Permoserstr. 15, 04318 Leipzig, Germany; German Centre for Integrative Biodiversity Research (iDiv) Halle-Jena-Leipzig, Puschstraße 4, 04103 Leipzig, Germany
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Irvine KN, Fisher D, Currie M, Colley K, Warber SL. A Nature-Based Intervention for Promoting Physical Activity in Older Adults: A Qualitative Study Using the COM-B Model. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2024; 21:843. [PMID: 39063420 PMCID: PMC11276442 DOI: 10.3390/ijerph21070843] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/11/2024] [Revised: 06/12/2024] [Accepted: 06/17/2024] [Indexed: 07/28/2024]
Abstract
Physical inactivity contributes to over 800,000 deaths annually. Numerous non-pharmacological interventions provide a route to address this behavioural risk factor linked to the growth of non-communicable diseases. Here, we consider a nature-based intervention, specifically group outdoor health walks (GOHW), as a non-pharmacological intervention to increase physical activity and contribute to health and quality of life amongst older adults. We used the theoretically grounded Capability, Opportunity, Motivation, and Behaviour (COM-B) model as a lens to examine interviews with participants in a GOHW with an activity tracker and signposted by health clinics in Scotland, UK. Analysis identified capabilities, opportunities, and motivations, their impact on behaviour, and perceived physical and mental health. The application of the COM-B model to intervention evaluation allowed us to examine two separate behaviours, that of (i) engaging with the intervention itself, and (ii) incorporating the behaviour into one's life that the intervention targets. Analysis identified emerging capabilities, opportunities, and motivations that supported additional health-promoting behaviours, including increased time outdoors in nature and leadership to self-organise continued group walks. We offer insight into the design of nature-based interventions to effectively engage older adults with chronic health conditions and foster personal behaviour change for health and well-being.
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Affiliation(s)
- Katherine N. Irvine
- Social, Economic, Geographical Sciences Department, James Hutton Institute, Aberdeen AB15 8QH, UK; (D.F.); (M.C.); (K.C.)
| | - Daniel Fisher
- Social, Economic, Geographical Sciences Department, James Hutton Institute, Aberdeen AB15 8QH, UK; (D.F.); (M.C.); (K.C.)
- Centre for Public Policy, University of Glasgow, Glasgow G11 6EW, UK
| | - Margaret Currie
- Social, Economic, Geographical Sciences Department, James Hutton Institute, Aberdeen AB15 8QH, UK; (D.F.); (M.C.); (K.C.)
| | - Kathryn Colley
- Social, Economic, Geographical Sciences Department, James Hutton Institute, Aberdeen AB15 8QH, UK; (D.F.); (M.C.); (K.C.)
| | - Sara L. Warber
- Department of Family Medicine, University of Michigan, Ann Arbor, MI 48104, USA;
- NOVA Institute for Health, Baltimore, MD 21231, USA
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Lassell RKF, Tamayo V, Pena TA, Kishi M, Zwerling J, Gitlin LN, Brody AA. "When she goes out, she feels better:" co-designing a Green Activity Program with Hispanic/Latino people living with memory challenges and care partners. Front Aging Neurosci 2024; 16:1401255. [PMID: 38957542 PMCID: PMC11217360 DOI: 10.3389/fnagi.2024.1401255] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/15/2024] [Accepted: 05/28/2024] [Indexed: 07/04/2024] Open
Abstract
Purpose Utilizing a participatory approach, we sought to co-design a 12-week Green Activity Program (GAP) with Hispanic/Latino individuals living with memory challenges and their care partners, local outdoor professionals, and healthcare providers. Methods Participants were recruited via convenience and snowball sampling in the Bronx, New York with Hispanic/Latino persons living with memory challenges and care partners, outdoor activity professionals, and interdisciplinary healthcare providers/dementia experts. Co-design occurred iteratively with 5 focus groups and 4 individual interviews lasting 30-90 min and focused on program and research design. Sessions were recorded and transcribed. Utilizing directed content analysis data was coded using a priori codes program design and research design. Results 21 participants completed co-design activities: (n = 8 outdoor activity professionals, n = 6 Hispanic/Latino persons living with memory challenges and care partners, and n = 7 interdisciplinary healthcare providers/dementia experts). Participant preferences for program design were captured by subcodes session duration (30-90 min), frequency (4-8 sessions), and delivery modes (in-person and phone). Participants' preferred nature activities included group exercise and outdoor crafts [crocheting], outcomes of social participation, connectedness to nature, decreased loneliness, and stewardship were identified. Preferred language for recruiting and describing the program were "memory challenges," "Hispanic/Latino," and "wellbeing." Referral pathways were identified including community-based organizations and primary care. Conclusion Co-design was a successful form of engagement for people living with memory challenges that enabled participants to help design key elements of the GAP and research design. Our processes, findings, and recommendations for tailoring co-design to engage Hispanic/Latino people living with memory challenges can inform the development of other programs for this population.
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Affiliation(s)
- Rebecca K. F. Lassell
- Department of Health and Wellness Design, School of Public Health, Indiana University, Bloomington, IN, United States
- Regenstrief Institute, Indiana University Center for Aging Research, Indianapolis, IN, United States
- Hartford Institute for Geriatric Nursing (HIGN), NYU Rory Meyers College of Nursing, New York, NY, United States
| | - Valeria Tamayo
- Department of Health and Wellness Design, School of Public Health, Indiana University, Bloomington, IN, United States
- Department of Art and Art Professions, NYU Steinhardt, New York, NY, United States
| | - Triana A. Pena
- Hartford Institute for Geriatric Nursing (HIGN), NYU Rory Meyers College of Nursing, New York, NY, United States
| | - Misa Kishi
- Arthur S. Abramson Department of Rehabilitation Medicine, Albert Einstein College of Medicine, Bronx, NY, United States
| | - Jessica Zwerling
- The Saul R. Korey Department of Neurology, Albert Einstein College of Medicine, Bronx, NY, United States
| | - Laura N. Gitlin
- College of Nursing and Health Professions, Drexel University, Philadelphia, PA, United States
| | - Abraham A. Brody
- Hartford Institute for Geriatric Nursing (HIGN), NYU Rory Meyers College of Nursing, New York, NY, United States
- Division of Geriatric Medicine and Palliative Care, Department of Medicine, NYU Grossman School of Medicine, New York, NY, United States
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Struthers NA, Guluzade NA, Zecevic AA, Walton DM, Gunz A. Nature-based interventions for physical health conditions: A systematic review and meta-analysis. ENVIRONMENTAL RESEARCH 2024; 258:119421. [PMID: 38876421 DOI: 10.1016/j.envres.2024.119421] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/23/2024] [Revised: 06/11/2024] [Accepted: 06/12/2024] [Indexed: 06/16/2024]
Abstract
Nature-based interventions (NBIs) are activities, strategies, or programs taking place in natural settings, such as exercising in greenspaces, to improve the health and well-being of people by integrating the benefits of nature exposure with healthy behaviours. Current reviews on NBIs do not report the effects on different groups of physical health conditions. The purpose of this systematic review and meta-analysis was to identify and synthesize the evidence of the effect of NBIs on physical health outcomes and biomarkers of physical health conditions. Overall, 20,201 studies were identified through searching MEDLINE, Embase, CINAHL, SPORTDiscus, and CENTRAL databases up to June 7, 2024. Inclusion criteria were: 1) randomized controlled intervention studies; 2) population with a physical health condition; 3) NBIs vs. different intervention or no intervention; and 4) measuring physical health outcomes and/or biomarkers. Twenty-six studies were included in the review, 15 of which contributed to the meta-analysis. Compared to control groups, NBIs groups showed significant improvements in: diastolic blood pressure (MD -3.73 mmHg [-7.46 to -0.00], I2 = 62%) and heart rate (MD -7.44 bpm [-14.81 to -0.06], I2 = 0%) for cardiovascular conditions, fatigue (SMD -0.50 [-0.82 to -0.18], I2 = 16%) for central nervous system conditions, and body fat percentage (MD -3.61% [-5.05 to -2.17], I2 = 0%) for endocrine conditions. High effect heterogeneity was found in several analyses and the included studies had moderate-to-high risk of bias (RoB). The non-significant outcomes showed a direction of effect in favour of NBI groups for cardiovascular, central nervous system, endocrine, musculoskeletal, and respiratory conditions. This review found some beneficial effects in favour of NBIs for health outcomes in at least three condition groups though RoB and inconsistent effects limited some interpretations. NBIs are promising therapies that healthcare professionals can consider integrating into clinical practice.
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Affiliation(s)
- Nicole A Struthers
- Health and Rehabilitation Sciences, Faculty of Health Sciences, Western University, 1151 Richmond St., London, ON, N6A 3K7, Canada.
| | - Nasimi A Guluzade
- School of Kinesiology, Faculty of Health Sciences, Western University, 1151 Richmond St., London, ON, N6A 3K7, Canada
| | - Aleksandra A Zecevic
- Health and Rehabilitation Sciences, Faculty of Health Sciences, Western University, 1151 Richmond St., London, ON, N6A 3K7, Canada; School of Health Studies, Faculty of Health Sciences, Western University, 1151 Richmond St., London, ON, N6A 3K7, Canada
| | - David M Walton
- Health and Rehabilitation Sciences, Faculty of Health Sciences, Western University, 1151 Richmond St., London, ON, N6A 3K7, Canada; School of Physical Therapy, Faculty of Health Sciences, Western University, 1151 Richmond St., London, ON, N6A 3K7, Canada
| | - Anna Gunz
- Children's Health Research Institute, 750 Base Line Road East, London, ON, N6C 2R5, Canada; Schulich School of Medicine and Dentistry, Western University, 1151 Richmond St., London, ON, N6A 3K7, Canada
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Sterckx A, Delbaere B, De Blust G, Spacova I, Samson R, Van den Broeck K, Remmen R, Keune H. Fine-tuning the practical relevance of a quality framework for integrated nature-based interventions in healthcare facilities. A qualitative interview study. Front Public Health 2024; 12:1379230. [PMID: 38898895 PMCID: PMC11186510 DOI: 10.3389/fpubh.2024.1379230] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/30/2024] [Accepted: 05/16/2024] [Indexed: 06/21/2024] Open
Abstract
Introduction Integrated nature-based interventions in healthcare facilities are gaining importance as promising health and biodiversity promotion strategies. This type of interventions combines the restoration of biodiversity in the vicinity of the healthcare facility with guiding patients in that natural environment for health outcomes. However, quality appraisal of these interventions is still poorly developed. Based on a recent scoping review, the authors developed a preliminary quality framework in support of healthcare facilities designing, implementing and evaluating integrated nature-based interventions. This present study aims to fine-tune the practical relevance of the quality framework within the emerging practice. Methods A qualitative interview study was conducted in seven healthcare facilities in Belgium. Using a combination of snowball and purposive sampling, 22 professionals, involved in the integrated nature-based intervention in their facility, participated in the study. The semi-structured interviews were transcribed and imported into NVivo. A deductive and inductive thematic analysis was used to explore the practical relevance of the quality framework. A stakeholders' assembly review and a member checking of the findings were also part of the study. Findings Twenty-two interviews with nature management coordinators, healthcare professionals, and healthcare managers were conducted by three principal investigators in seven healthcare facilities implementing integrated nature-based interventions. The contextualization and complexity of integrated nature-based interventions in the participating healthcare facilities demonstrated the need for an evidence-based quality framework describing nature-based interventions. The study led to nine quality criteria, confirming the eight quality criteria derived from a previous scoping review, and the identification of a new quality criterion 'Capacity building, leverage and continuity'. These quality criteria have been refined. Finally, a proposal for a quality framework was developed and operationalized in a checklist. Deployment of the quality framework should be embedded in a continuous cyclical, adaptive process of monitoring and adjusting based on evaluations at each phase of an integrated nature-based intervention. Discussion Bridging the domains of healthcare and nature management in the context of an integrated nature-based intervention in a healthcare facility requires a transdisciplinary approach. Scientific frameworks such as "complex interventions," Planetary Health and One Health can support the co-design, implementation and evaluation of integrated nature-based interventions within a cyclical, adaptive process. In addition, the importance of the quality of the interactions with nature could gain from more sophisticated attention. Finally, the implications for healthcare facilities, policymakers and education are discussed, as well as the strengths and limitations of the study.
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Affiliation(s)
- Ann Sterckx
- Chair Care and the Natural Living Environment, Department of Primary and Interdisciplinary Care, Faculty of Medicine and Health Sciences, University of Antwerp, Antwerp, Belgium
| | - Ben Delbaere
- Chair Care and the Natural Living Environment, Department of Primary and Interdisciplinary Care, Faculty of Medicine and Health Sciences, University of Antwerp, Antwerp, Belgium
| | - Geert De Blust
- Chair Care and the Natural Living Environment, Department of Primary and Interdisciplinary Care, Faculty of Medicine and Health Sciences, University of Antwerp, Antwerp, Belgium
- Department of Bioscience Engineering, University of Antwerp, Antwerp, Belgium
| | - Irina Spacova
- Department of Bioscience Engineering, University of Antwerp, Antwerp, Belgium
| | - Roeland Samson
- Department of Bioscience Engineering, University of Antwerp, Antwerp, Belgium
| | - Kris Van den Broeck
- Chair Public Mental Health, Department of Primary and Interdisciplinary Care, Faculty of Medicine and Health Sciences, University of Antwerp, Antwerp, Belgium
| | - Roy Remmen
- Department of Primary and Interdisciplinary Care, Faculty of Medicine and Health Sciences, University of Antwerp, Antwerp, Belgium
| | - Hans Keune
- Chair Care and the Natural Living Environment, Department of Primary and Interdisciplinary Care, Faculty of Medicine and Health Sciences, University of Antwerp, Antwerp, Belgium
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Carroll C, Higgs J, McCray S, Utter J. Implementation and Impact of Health Care Gardens: A Systematic Scoping Review. JOURNAL OF INTEGRATIVE AND COMPLEMENTARY MEDICINE 2024; 30:431-449. [PMID: 38011751 DOI: 10.1089/jicm.2023.0212] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/29/2023]
Abstract
Background: In community and school settings, gardens and garden interventions have been shown to confer several psychosocial, physiological, and nutritional benefits. However, little is known about the implementation and impact of health care gardens on patients, visitors, and staff health and well-being. The primary aim of this review is to identify and describe the types of gardens and common design elements implemented in health care settings and the impact these gardens have on the health and well-being of patients, visitors, and staff. A secondary aim is to assess the quality of available evidence. Methods: PubMed, CINAHL, EMBASE, and PsycINFO were systematically searched on October 28, 2022. Primary qualitative and quantitative studies (excluding case reports and studies) were eligible for inclusion if they described the types of gardens and common design elements implemented in health care settings (hospitals, aged care, rehabilitation facilities, and medical centers) and/or assessed the impact of garden interventions on the health and well-being of patients, visitors, and staff. Review, selection, and data extraction were conducted by two independent researchers, with findings synthesized and presented in narrative form. Articles were critically appraised using the mixed methods appraisal tool (MMAT). Results: Eighteen articles were included. Eight studies provided detailed descriptions of the types of gardens implemented in health care settings (healing [n = 3], therapeutic [n = 2], sensory [n = 2], children's fairy gardens [n = 1], and enriched [n = 1] gardens). Studies examining the psychosocial impacts of gardens were most frequently reported (n = 16), followed by physical (n = 4) and nutritional (n = 2). A wide range of positive outcomes, predominantly relating to patients (n = 12), were reported, including improvements in stress, quality of life (QOL), cognitive function, physical activity, and fruit and vegetable intake. The evidence was heterogeneous and low-medium quality. Conclusions: The findings suggest that implementing gardens and garden interventions in health care settings may positively impact the health and well-being of patients, visitors, and staff. Most studies related to the impact of gardens on patients' mental health and QOL, indicating the need for further research to explore physical and nutritional outcomes, as well as health outcomes of staff and visitors. Findings also suggest the need for high-quality study designs (e.g., cluster control trials) and standardized measurement tools.
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Affiliation(s)
- Chloe Carroll
- Nutrition and Dietetics, Faculty of Health Sciences and Medicine, Bond University, Robina, Australia
| | - Jennifer Higgs
- Nutrition and Dietetics, Faculty of Health Sciences and Medicine, Bond University, Robina, Australia
| | - Sally McCray
- Nutrition and Dietetics, Mater Health, South Brisbane, Australia
| | - Jennifer Utter
- Nutrition and Dietetics, Faculty of Health Sciences and Medicine, Bond University, Robina, Australia
- Nutrition and Dietetics, Mater Health, South Brisbane, Australia
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Wood CJ, Morton G, Rossiter K, Baumber B, Bragg RE. A qualitative study of the barriers to commissioning social and therapeutic horticulture in mental health care. BMC Public Health 2024; 24:1197. [PMID: 38684984 PMCID: PMC11059742 DOI: 10.1186/s12889-024-18621-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/13/2023] [Accepted: 04/16/2024] [Indexed: 05/02/2024] Open
Abstract
BACKGROUND Social and Therapeutic Horticulture (STH) is a process where trained practitioners work with plants and people to improve an individual's physical and psychological health, communication and thinking skills. Evidence suggests that STH can support individuals with mental ill-health, however, current commissioning of STH within mental health care is limited. This study aimed to understand the barriers to commissioning STH in mental health care and to identify potential solutions to barriers, to support more widespread availability of services. METHODS: Individuals with a role in mental health care commissioning from across the UK were invited to take part in semi-structured interviews via zoom. Interviews explored factors influencing the mental health services they commission or refer to, their perception of the role of STH in mental health care and the barriers to commissioning STH, together with potential solutions to any barriers identified. RESULTS Commissioners identified a lack of knowledge of STH and evidence of its effectiveness, and a culture which prioritises traditional medical models, as barriers to commissioning. Challenges for STH providers in responding to large-scale commissioning requirements were also highlighted as a barrier. CONCLUSIONS To upscale commissioning of STH in mental health care, STH interventions need to be embedded within NHS priorities and information on STH services and their effectiveness needs to be easily accessible to practitioners. The sector should also be supported in working collaboratively to enable commissioning of services at scale.
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Affiliation(s)
- Carly J Wood
- School of Sport, Rehabilitation and Exercise Sciences, University of Essex, Colchester, CO43SQ, UK.
| | - Georgina Morton
- School of Sport, Rehabilitation and Exercise Sciences, University of Essex, Colchester, CO43SQ, UK
| | | | - Becs Baumber
- Thrive, Geoffrey Udall Centre, Beech Hill, Reading, RG72AT, UK
| | - Rachel E Bragg
- School of Sport, Rehabilitation and Exercise Sciences, University of Essex, Colchester, CO43SQ, UK
- Rachel Bragg Consultancy, Hereford, HR11GZ, UK
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Uchida K, Blumstein DT, Soga M. Managing wildlife tolerance to humans for ecosystem goods and services. Trends Ecol Evol 2024; 39:248-257. [PMID: 37949796 DOI: 10.1016/j.tree.2023.10.008] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/07/2023] [Revised: 10/13/2023] [Accepted: 10/13/2023] [Indexed: 11/12/2023]
Abstract
Many animals can vary their behaviors to better utilize anthropogenic environments. Wildlife living in highly disturbed environments often show an increased tolerance towards humans. While animal behavior can play a vital role in producing and delivering ecosystem services, we know less about how variation in wildlife tolerance to humans can influence ecosystem services. Increased tolerance to humans changes a variety of animal behaviors, and these behavioral modifications, such as changes to foraging, habitat selection, and movement, can alter the supply and flow of both ecosystem services and disservices. We highlight the need to understand the links between increased tolerance to humans and ecosystem services to develop an effective tool to enhance services while minimizing the risk of creating disservices.
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Affiliation(s)
- Kenta Uchida
- Graduate School of Agricultural and Life Sciences, The University of Tokyo, 1-1-1, Yayoi, Bunkyo, Tokyo 113-8657, Japan.
| | - Daniel T Blumstein
- Department of Ecology and Evolutionary Biology, University of California, 621 Young Drive South, Los Angeles, CA 90095-1606, USA
| | - Masashi Soga
- Graduate School of Agricultural and Life Sciences, The University of Tokyo, 1-1-1, Yayoi, Bunkyo, Tokyo 113-8657, Japan
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Wang Y, Shi X, Hong H, Chang Q. How does multiscale greenspace exposure affect human health? Evidence from urban parks in the central city of Beijing. JOURNAL OF ENVIRONMENTAL MANAGEMENT 2024; 353:120253. [PMID: 38335596 DOI: 10.1016/j.jenvman.2024.120253] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/27/2023] [Revised: 01/26/2024] [Accepted: 01/28/2024] [Indexed: 02/12/2024]
Abstract
While the health benefits of exposure to urban greenspace have been widely discussed at different spatial scales, the comprehensive health effects of multiscale greenspace exposure are far from understood. There is a lack of quantified evidence when conducting cost-effective greenspace management practices for promoting human health and well-being. This study proposed a conceptual model that links objective and subjective greenspace exposure metrics at different spatial scales with self-rated health of residents. The model attempted to deconstruct and explore the associations between multiscale greenspace exposure and human health, and a cross-sectional study was conducted to examine the model. Taking urban parks in the central city of Beijing as case study area, the objective greenspace exposure metrics at both the site and subdistrict scales were spatial explicitly assessed, and the subjective exposure metrics and self-rated health status of 1017 respondents were obtained through questionnaire survey and spatial positioning. The results of multiple regression analyses and path analyses suggested that greenspace exposure metrics at both site and subdistrict scales were significantly associated with the respondents' self-rated health status, with the exposure metrics at the site scale being more important than those at the subdistrict scale in affecting human health. The contribution of urban parks to self-rated physical and mental health of respondents varied across spatial scales. Specifically, the aesthetic value of urban parks at site scale contributed the most to mental health by promoting respondents' resting behaviors in urban parks, and the density of urban parks at subdistrict scale had the most significant effects on self-rated physical health by increasing the usage frequency of urban parks. Findings of this study can contribute to understanding the complex associations between urban greenspace and human health from a multiscale perspective, and are also expected to provide quantified information for health-oriented urban greenspace planning and management practices.
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Affiliation(s)
- Yanan Wang
- School of Architecture, Yantai University, Yantai, 264005, China; Department of Landscape Architecture, College of Horticulture, China Agricultural University, Beijing, 100193, China
| | - Xiaoxiao Shi
- Department of Landscape Architecture, College of Horticulture, China Agricultural University, Beijing, 100193, China
| | - Hailin Hong
- Department of Landscape Architecture, College of Horticulture, China Agricultural University, Beijing, 100193, China
| | - Qing Chang
- Department of Landscape Architecture, College of Horticulture, China Agricultural University, Beijing, 100193, China.
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Martín-Rodríguez A, Gostian-Ropotin LA, Beltrán-Velasco AI, Belando-Pedreño N, Simón JA, López-Mora C, Navarro-Jiménez E, Tornero-Aguilera JF, Clemente-Suárez VJ. Sporting Mind: The Interplay of Physical Activity and Psychological Health. Sports (Basel) 2024; 12:37. [PMID: 38275986 PMCID: PMC10819297 DOI: 10.3390/sports12010037] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/12/2023] [Revised: 01/15/2024] [Accepted: 01/19/2024] [Indexed: 01/27/2024] Open
Abstract
The symbiotic relationship between sports practice and psychological well-being has, in recent times, surged to the forefront of academic and public attention. The aim of this narrative review is to comprehensively explore the intricate pathways linking physical engagement in sports to its subsequent impacts on mental health and synthesize the multifarious effects of sports on psychological health, offering insights for integrating physical and psychological strategies to enhance well-being. From neurobiological underpinnings to therapeutic applications, this comprehensive manuscript provides an in-depth dive into the multifaceted world of sports and psychology. Highlighting evidence-based interventions, this review aspires to offer actionable insights for practitioners, athletes, and individuals alike, advocating for a holistic approach to mental well-being. This manuscript highlights the profound impact of sports on mental health, emphasizing its role in emotional regulation, resilience, cognitive function, and treating psychological conditions. It details how sports induce neurochemical changes, enhance brain functions like memory and learning, and aid against cognitive decline. This review also notes the benefits of regular exercise in mood improvement, stress management, and social skill enhancement, particularly when combined with mindfulness practices. It underscores the importance of considering cultural and gender perspectives in sports psychology, advocating for an integrated physical-psychological approach to promote overall well-being.
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Affiliation(s)
- Alexandra Martín-Rodríguez
- Faculty of Sports Sciences, Universidad Europea de Madrid, Tajo Street, s/n, 28670 Madrid, Spain; (A.M.-R.); (L.A.G.-R.); (N.B.-P.); (J.F.T.-A.)
| | - Laura Augusta Gostian-Ropotin
- Faculty of Sports Sciences, Universidad Europea de Madrid, Tajo Street, s/n, 28670 Madrid, Spain; (A.M.-R.); (L.A.G.-R.); (N.B.-P.); (J.F.T.-A.)
| | | | - Noelia Belando-Pedreño
- Faculty of Sports Sciences, Universidad Europea de Madrid, Tajo Street, s/n, 28670 Madrid, Spain; (A.M.-R.); (L.A.G.-R.); (N.B.-P.); (J.F.T.-A.)
| | - Juan Antonio Simón
- Department Ciencias Sociales Act Fis Deporte & Ocio, Universidad Politécnica de Madrid, 28040 Madrid, Spain;
| | - Clara López-Mora
- Facultad de Ciencias Biomédicas y de la Salud, Universidad Europea de Valencia, Pg. de l’Albereda, 7, 46010 València, Spain;
| | | | - José Francisco Tornero-Aguilera
- Faculty of Sports Sciences, Universidad Europea de Madrid, Tajo Street, s/n, 28670 Madrid, Spain; (A.M.-R.); (L.A.G.-R.); (N.B.-P.); (J.F.T.-A.)
| | - Vicente Javier Clemente-Suárez
- Faculty of Sports Sciences, Universidad Europea de Madrid, Tajo Street, s/n, 28670 Madrid, Spain; (A.M.-R.); (L.A.G.-R.); (N.B.-P.); (J.F.T.-A.)
- Grupo de Investigación en Cultura, Educación y Sociedad, Universidad de la Costa, Barranquilla 080002, Colombia
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Sterckx A, Delbaere B, De Blust G, Spacova I, Samson R, Remmen R, Keune H. Quality criteria of nature-based interventions in healthcare facilities: a scoping review. Front Public Health 2024; 11:1327108. [PMID: 38274513 PMCID: PMC10808570 DOI: 10.3389/fpubh.2023.1327108] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/24/2023] [Accepted: 12/26/2023] [Indexed: 01/27/2024] Open
Abstract
Introduction Implementing integrated nature-based interventions that simultaneously serve human health and the restoration of biodiversity in healthcare facilities is considered a promising strategy. As an emerging field of research and practice in healthcare, identification of quality criteria is necessary to support desired outcomes related to biodiversity, human health and intervention processes. This study is part of a larger research project in collaboration with the Flemish Agency of Nature and Forest in Belgium. Methods A scoping review was conducted in accordance with the Joanna Briggs Institute methodology for scoping reviews, in PubMed, Medline, Web of Science and Scopus. A step-by-step tabular screening process was conducted to identify relevant studies and reviews of nature-based interventions, published in English between January 2005 and April 2023. A qualitative content analysis was conducted and the results were then presented to the project steering group and a panel of stakeholders for refinement. Results After filtering on the eligibility criteria, and with focus on healthcare facilities, 14 articles were included in this study. A preliminary nature-based interventions quality framework with a set of quality indicators has been developed. Discussion When designing integrated nature-based interventions, a needs analysis of users and the outdoor environment should be conducted. Next, the integration of a One Health and biodiversity perspective and the application of a complex intervention framework, could support the quality of the design and implementation of nature-based interventions in healthcare facilities and facilitate their assessment. In future work, more rigorous research into the design and implementation of integrated nature-based interventions is needed to test and refine the quality criteria in practice.
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Affiliation(s)
- Ann Sterckx
- Chair Care and the Natural Living Environment, Department of Primary and Interdisciplinary Care, Faculty of Medicine and Health Sciences, University of Antwerp, Antwerp, Belgium
| | - Ben Delbaere
- Chair Care and the Natural Living Environment, Department of Primary and Interdisciplinary Care, Faculty of Medicine and Health Sciences, University of Antwerp, Antwerp, Belgium
| | - Geert De Blust
- Chair Care and the Natural Living Environment, Department of Primary and Interdisciplinary Care, Faculty of Medicine and Health Sciences, University of Antwerp, Antwerp, Belgium
| | - Irina Spacova
- Department of Bioscience Engineering, University of Antwerp, Antwerp, Belgium
| | - Roeland Samson
- Department of Bioscience Engineering, University of Antwerp, Antwerp, Belgium
| | - Roy Remmen
- Department of Primary and Interdisciplinary Care, Faculty of Medicine and Health Sciences, University of Antwerp, Antwerp, Belgium
| | - Hans Keune
- Chair Care and the Natural Living Environment, Department of Primary and Interdisciplinary Care, Faculty of Medicine and Health Sciences, University of Antwerp, Antwerp, Belgium
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Keller J, Kayira J, Chawla L, Rhoades JL. Forest Bathing Increases Adolescents' Mental Well-Being: A Mixed-Methods Study. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2023; 21:8. [PMID: 38276796 PMCID: PMC10815422 DOI: 10.3390/ijerph21010008] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/04/2023] [Revised: 12/04/2023] [Accepted: 12/13/2023] [Indexed: 01/27/2024]
Abstract
Previous research has demonstrated that practicing forest bathing has significant positive effects on adult psychological well-being. Considering the ongoing adolescents' mental health crisis of increasing anxiety and depression, determining whether forest bathing has similar effects on adolescents is an important expansion of forest bathing research. This study investigated the possibility that forest bathing could improve adolescents' mental well-being and sought to determine participants' experiences of forest bathing. It used a convergent, parallel, mixed-methods design that was partially co-created with 24 participants aged 16-18 as part of a youth participatory action research (YPAR) project in which participants practiced forest bathing three times over 3 weeks. As measured using the Warwick-Edinburgh Mental Well-Being Survey, the mean participant mental well-being increased significantly after forest bathing, with moderate to large effect sizes. Participants described reduced stress and increased feelings of relaxation, peace, and happiness. These findings correlate with previous forest bathing research involving adult participants. It is recommended that educators and others who work with adolescents consider forest bathing as a simple, low-cost way to improve adolescents' mental well-being.
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Affiliation(s)
- Jennifer Keller
- Department of Environmental Studies, Antioch University, New England, Keene, NH 03431, USA;
| | - Jean Kayira
- Department of Environmental Studies, State University of New York College of Environmental Science and Forestry, Suracuse, NY 13201, USA;
| | - Louise Chawla
- Program in Environmental Design, University of Colorado Boulder, Boulder, CO 80309, USA;
| | - Jason L. Rhoades
- Department of Environmental Studies, Antioch University, New England, Keene, NH 03431, USA;
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Fan MSN, Li WHC, Ho LLK, Phiri L, Choi KC. Nature-Based Interventions for Autistic Children: A Systematic Review and Meta-Analysis. JAMA Netw Open 2023; 6:e2346715. [PMID: 38060224 DOI: 10.1001/jamanetworkopen.2023.46715] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/08/2023] Open
Abstract
Importance There is a gap in the evidence regarding nature-based interventions (NBIs) for children with autism spectrum disorder (ASD). Objective To systematically review and meta-analyze available evidence on the health-related outcomes in NBIs for children with ASD. Data Sources The Cumulative Index to Nursing and Allied Health Literature, Cochrane, Embase, Emcare, Education Resources Information Center, Global Health, MEDLINE, PsycInfo, SPORTDiscus, and Web of Science were searched from inception until May 2023. Google Scholar and references from included studies were searched for additional studies. Study Selection Included studies were randomized clinical trials (RCTs), controlled studies, and single-group before-and-after studies that reported health-related outcomes. Data Extraction and Synthesis This review adhered to the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) reporting guidelines. Random-effects meta-analyses were used to synthesize the data. The findings of studies that were ineligible for meta-analysis were summarized according to the Synthesis Without Meta-analysis (SWIM) reporting guidelines. Main Outcomes and Measures The outcomes of interest were health-related outcomes (ie, social functioning, behavioral functioning, emotional functioning, sensory functioning) and the self-reported well-being of children with ASD. Results A total of 24 studies with 717 participants (mean age range, 5.3 to 17.8 years; 141 [21.9%] female) were included. A meta-analysis from 13 studies indicated a significant negative moderate association between NBIs and social communication (standardized mean difference [SMD], -0.59; 95% CI, -0.85 to -0.34). For behavioral functioning outcomes, NBIs showed a significant moderate association with reduced hyperactivity (SMD, -0.56; 95% CI, -0.86 to -0.26) and a small to moderate association with reduced irritability (SMD, -0.49; 95% CI, -0.79 to -0.19). For sensory functioning, NBIs were significantly associated with improved inattention and distractibility (SMD, 1.13; 95% CI, 0.67 to 1.60). Significant moderate associations were observed in sensory seeking (SMD, 0.77; 95% CI, 0.33 to 1.22; P < .001; I2 = 0%) and sensory sensitivity (SMD, 0.56; 95% CI, 0.12 to 1.00; P = .01; I2 = 0%). Heterogeneity of the intervention effects was not high, and I2 ranged from 0% to 67%. Conclusions and Relevance The findings of this systematic review and meta-analysis suggested an association of NBIs in group-based recreational therapy with experiential learning with positive short-term outcomes on sensory, social, and behavioral functioning for children with ASD. Future evidence using robust study design to aid the health and functional trajectories of children with ASD is recommended.
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Affiliation(s)
| | | | | | - Lophina Phiri
- The Chinese University of Hong Kong, Hong Kong, China
| | - Kai Chow Choi
- The Chinese University of Hong Kong, Hong Kong, China
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15
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Sutton RJ, Kay CWP, McKenna J, Kaiseler M. Sustained positive behaviour change of wounded, injured and sick UK military following an adaptive adventure sports and health coaching recovery course. BMJ Mil Health 2023; 169:499-504. [PMID: 34880099 PMCID: PMC10715534 DOI: 10.1136/bmjmilitary-2021-001784] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/23/2021] [Accepted: 11/17/2021] [Indexed: 11/03/2022]
Abstract
INTRODUCTION A rising trend has occurred in the physical and mental health challenges faced by recovering UK service personnel. To support these individuals, bespoke inclusive multiactivity and adventurous training courses (MAC) have been developed. This study investigated the MAC's influence on participants' ability to sustain day-to-day changes that facilitate positive mental health and psychological need satisfaction. METHODS The 146 UK service personnel who participated in this study attended a five-day MAC 12 months ago. To investigate how the supportive experience influenced participants' lives, quantitative and qualitative data were collected via an online survey. Open-ended questioning and abductive analysis were conducted to understand mechanisms, influential aspects of the course and positive behaviour change. RESULTS Positive behaviour changes were reported by 74% of the respondents. These changes align with positive psychological well-being (98%). Impactful elements of the course experienced by participants mostly aligned with the three basic psychological needs of autonomy (34%), competence (36%) and relatedness (61%). CONCLUSIONS Recovery support programmes that encompass health coaching adventurous activities, such as the MAC, can initiate long-term positive behaviour change for recovering military personnel. In this specific context, the concurrence of the self-determination theory concepts that underpin the course delivery and participant outcomes is a powerful endorsement of implementation fidelity.
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Affiliation(s)
| | - C W P Kay
- Carnegie School of Sport, Leeds Beckett University, Leeds, UK
| | - J McKenna
- Carnegie School of Sport, Leeds Beckett University, Leeds, UK
| | - M Kaiseler
- Carnegie School of Sport, Leeds Beckett University, Leeds, UK
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Molla Legesse S, Wondimu H. Development and Validation of the Amharic Version of Self-Efficacy and Outcome Expectancy Measures on Intention to Take Preventive Actions on Noncommunicable Disease. Behav Neurol 2023; 2023:6669157. [PMID: 37942275 PMCID: PMC10630007 DOI: 10.1155/2023/6669157] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/19/2023] [Revised: 09/23/2023] [Accepted: 10/10/2023] [Indexed: 11/10/2023] Open
Abstract
This study is aimed at developing and accessing the validity and reliability of an Amharic version of the self-efficacy and outcome expectancy measures on noncommunicable disease prevention strategies. The intentions to take protective measures on NCDs' self-efficacy and outcome expectancy scales were created in Amharic using a sequential nine-step process that included translation and contextualization of the items, content validity, pretesting of the questions, sampling, and survey administration. Principal component analysis was conducted on 829 university students which showed a one-factor solution for self-efficacy and a three-factor solution for outcome expectancy scales using split-half measures. Confirmatory factor analyses supported the factor structure, which also demonstrated good internal consistency (.828 self-efficacy, .766 outcome expectancy). The scales had a moderate level of correlation (r = .35, p.001) between them. The study resulted in reliable and valid Amharic versions of self-efficacy (9-item) and outcome expectancy (12-item) scales.
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Affiliation(s)
- Shumye Molla Legesse
- Department of Psychology, College of Social Sciences and Humanities, Debre Birhan University, Ethiopia
| | - Habtamu Wondimu
- School of Psychology, College of Education and Behavioral Studies, Addis Ababa University, Ethiopia
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Pearson AL, Pfeiffer KA, Buxton RT, Horton TH, Gardiner J, Asana V. Four recommendations to tackle the complex reality of transdisciplinary, natural experiment research. Front Public Health 2023; 11:1240231. [PMID: 37920584 PMCID: PMC10618667 DOI: 10.3389/fpubh.2023.1240231] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/15/2023] [Accepted: 10/02/2023] [Indexed: 11/04/2023] Open
Abstract
Natural experiments are often used to study interventions in which randomization to control versus intervention conditions are impossible. Nature-based interventions (i.e., programs designed to increase human interaction with nature and improve human health) are commonly studied as natural experiments. We used a natural experiment design to explore the benefits of ecological rehabilitation of parks on biodiversity and resident health in low-income, minoritized neighborhoods in Detroit, MI. Given the complexities and interconnectedness of lived experiences, community needs, and ecological health, this research design has presented challenges. Based on our experiences, we pose four key recommendations for researchers and practitioners conducting natural experiments, nature-based interventions, and those working in low-income, minoritized neighborhoods. We use the explicit examples of challenges faced as rationale for these recommendations. The key recommendations are (1) Engage with community leaders; (2) Build a transdisciplinary team and work closely; (3) Examine privilege; and (4) Create a unified vision.
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Affiliation(s)
- Amber L. Pearson
- CS Mott Department of Public Health, Michigan State University, Flint, MI, United States
| | - Karin A. Pfeiffer
- Department of Kinesiology, Michigan State University, East Lansing, MI, United States
| | | | - Teresa H. Horton
- Department of Anthropology, Northwestern University, Evanston, IL, United States
| | - Joseph Gardiner
- Department of Epidemiology and Biostatistics, Michigan State University, East Lansing, MI, United States
| | - Ventra Asana
- National Coalition of Independent Scholars, Detroit, MI, United States
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Busk H, Ahler J, Bricca A, Mikal Holm P, Varning Poulsen D, Skou ST, Tang LH. Exercise-based rehabilitation in and with nature: a scoping review mapping available interventions. Ann Med 2023; 55:2267083. [PMID: 37839417 PMCID: PMC10578088 DOI: 10.1080/07853890.2023.2267083] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/03/2023] [Accepted: 09/26/2023] [Indexed: 10/17/2023] Open
Abstract
INTRODUCTION Exercise is an effective component in rehabilitation of a range of chronic conditions. There is a growing interest in the use of exercise-based nature interacted rehabilitation (EBNIR), but an overview of current evidence is missing. The objective of this scoping review was to map existing exercise-based rehabilitation interventions conducted with incidental or intentional nature interaction focusing on its populations, types of outcomes, and theoretical rationale for people with physical and mental disabilities. METHODS This scoping review identified peer-reviewed publications, registered upcoming trials and grey literature. To map all available knowledge, a comprehensive search of selected databases (MEDLINE; EMBASE; CINAHL; Cochrane; Web of Science; Pedro) from inception to October 2022. Data were synthesized in a thematic presentation guided by TIDieR, supplemented by a checklist developed for this study accounting nature incidental or intentional interaction. RESULTS Twelve studies including 856 participants met the inclusion criteria. Eleven were completed trials and one was registered in clinicaltrials.gov to be run in 2023. A total of 856 patients were enrolled in the 12 studies (range 18-262, median 50). The included studies had great variation. The incidental or intentional interacted exercise-based interventions consisted of outdoor walks, neck exercises and surfing interventions in patients with physical or mental health conditions. CONCLUSIONS This scoping review presents an overview of limited and diverse evidence within the field of EBNIR, in patients with physical or mental health conditions. Our review provides an overview that will be helpful in the design of future EBNIR trials.
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Affiliation(s)
- Henriette Busk
- Department of Geosciences and Natural Resource Management, University of Copenhagen, Frederiksberg C, Denmark
| | - Jonas Ahler
- Department of Physiotherapy and Occupational Therapy, The Research and Implementation Unit PROgrez, Næstved-Slagelse-Ringsted Hospitals, Slagelse, Denmark
- Department of Sports Science and Clinical Biomechanics, Research Unit for Musculoskeletal Function and Physiotherapy, University of Southern Denmark, Odense, Denmark
| | - Alessio Bricca
- Department of Physiotherapy and Occupational Therapy, The Research and Implementation Unit PROgrez, Næstved-Slagelse-Ringsted Hospitals, Slagelse, Denmark
- Department of Sports Science and Clinical Biomechanics, Research Unit for Musculoskeletal Function and Physiotherapy, University of Southern Denmark, Odense, Denmark
| | - Pætur Mikal Holm
- Department of Physiotherapy and Occupational Therapy, The Research and Implementation Unit PROgrez, Næstved-Slagelse-Ringsted Hospitals, Slagelse, Denmark
- Department of Sports Science and Clinical Biomechanics, Research Unit for Musculoskeletal Function and Physiotherapy, University of Southern Denmark, Odense, Denmark
| | - Dorthe Varning Poulsen
- Department of Geosciences and Natural Resource Management, University of Copenhagen, Frederiksberg C, Denmark
| | - Søren T. Skou
- Department of Physiotherapy and Occupational Therapy, The Research and Implementation Unit PROgrez, Næstved-Slagelse-Ringsted Hospitals, Slagelse, Denmark
- Department of Sports Science and Clinical Biomechanics, Research Unit for Musculoskeletal Function and Physiotherapy, University of Southern Denmark, Odense, Denmark
| | - Lars Hermann Tang
- Department of Physiotherapy and Occupational Therapy, The Research and Implementation Unit PROgrez, Næstved-Slagelse-Ringsted Hospitals, Slagelse, Denmark
- Department of Regional Health Research, University of Southern Denmark, Odense, Denmark
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Sun Q, Loveday M, Nwe S, Morris N, Boxall E. Green Social Prescribing in Practice: A Case Study of Walsall, UK. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2023; 20:6708. [PMID: 37681848 PMCID: PMC10487442 DOI: 10.3390/ijerph20176708] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/05/2023] [Revised: 08/21/2023] [Accepted: 08/22/2023] [Indexed: 09/09/2023]
Abstract
This paper presents a case study of Green Social Prescribing (GSP) in Walsall, a medium-sized urban area located in the West Midlands, UK. GSP is a means of enabling health professionals to refer people to a range of local non-clinical nature-based activities, e.g., community gardening and conservation volunteering. As a new practice to address multiple challenges in health and sustainability, GSP has been promoted by the UK government and the NHS in the past few years. There is as yet limited evidence and knowledge about how this approach is implemented at a local level. This paper addresses this gap of knowledge, by exploring how GSP is implemented in Walsall as a case study. Based on extensive engagement and research activities with the local partners to collect data, this paper reveals the local contexts of GSP, the referral pathways, and people's lived experience, discussing the challenges, barriers, and opportunities in delivering GSP at the local level. This study suggests that a more collaborative and genuine place-based approach is essential, and alongside GSP, investment into infrastructure is needed to move the health paradigm further from 'prevention' to 'promotion' so that more people can benefit from what nature can offer.
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Affiliation(s)
- Qian Sun
- School of Design, Royal College of Art, Kensington Gore, London SW7 2EU, UK; (M.L.)
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Hartfiel N, Gittins H, Morrison V, Wynne-Jones S, Dandy N, Edwards RT. Social Return on Investment of Nature-Based Activities for Adults with Mental Wellbeing Challenges. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2023; 20:6500. [PMID: 37569040 PMCID: PMC10418598 DOI: 10.3390/ijerph20156500] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/02/2023] [Revised: 07/20/2023] [Accepted: 07/21/2023] [Indexed: 08/13/2023]
Abstract
Increased time spent in nature can enhance physical health and mental wellbeing. The UK Government's '25 Year Environment Plan' recommends extending the health benefits of contact with nature to a wider group of people, including those with mental health challenges. This study investigated whether nature-based interventions (NBIs) for people with mild mental health challenges could generate a positive social return on investment (SROI). Between May 2017 and January 2019, 120 participants at six outdoor sites in Wales participated in a 6 to 12-week NBI, which consisted of a weekly 2- to 4-h session. Quantitative data were collected from baseline and follow-up questionnaires identifying participant demographics and measuring mental wellbeing, physical activity, self-efficacy, and social trust. Wellbeing valuation generated a range of social value ratios by applying the Housing Association Charitable Trust (HACT) Social Value Calculator (SVC 4.0) and HACT Mental Health Social Value Calculator (MHSVC 1.0). Seventy-four participants (62%) completed follow-up questionnaires at 6 months. SROI ratios were calculated using the SVC for physical activity, self-efficacy, and social trust. The MHSVC generated social value ratios for mental wellbeing. The base case results revealed a positive social value ratio for participants, ranging from British Pound Sterling (GBP) 2.57 to GBP 4.67 for every GBP 1 invested, indicating favourable outcomes in terms of value generated.
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Affiliation(s)
- Ned Hartfiel
- Centre for Health Economics and Medicines Evaluation, Bangor University, Bangor LL57 2PZ, UK;
| | - Heli Gittins
- School of Natural Sciences, Bangor University, Bangor LL57 2DG, UK; (H.G.); (S.W.-J.); (N.D.)
| | - Val Morrison
- School of Human and Behavioural Sciences, Bangor University, Bangor LL57 2AS, UK;
| | - Sophie Wynne-Jones
- School of Natural Sciences, Bangor University, Bangor LL57 2DG, UK; (H.G.); (S.W.-J.); (N.D.)
| | - Norman Dandy
- School of Natural Sciences, Bangor University, Bangor LL57 2DG, UK; (H.G.); (S.W.-J.); (N.D.)
| | - Rhiannon Tudor Edwards
- Centre for Health Economics and Medicines Evaluation, Bangor University, Bangor LL57 2PZ, UK;
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Shrestha T, Chi CVY, Cassarino M, Foley S, Di Blasi Z. Factors influencing the effectiveness of nature-based interventions (NBIs) aimed at improving mental health and wellbeing: Protocol of an umbrella review. PLoS One 2023; 18:e0273139. [PMID: 37478105 PMCID: PMC10361498 DOI: 10.1371/journal.pone.0273139] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/02/2022] [Accepted: 07/01/2023] [Indexed: 07/23/2023] Open
Abstract
Several systematic reviews support the use of nature-based interventions (NBIs) as a mechanism of enhancing mental health and wellbeing. However, the available evidence for the effectiveness of these interventions is fragmentary and mixed. The heterogeneity of existing evidence and significant fragmentation of knowledge within the field make it difficult to draw firm conclusions regarding the effectiveness of NBIs. This mixed method umbrella review aims to synthesise evidence on the effectiveness of nature-based interventions through a summative review of existing published systematic reviews and meta-analyses. A systematic search in PsycINFO, PubMed, Greenfile, Web of Science, Embase, Scopus, Academic Search Complete (EBSCO), Environment Complete (EBSCO), Cochrane Library, CINAHL, Health Policy Reference Centre and Google Scholar will be performed from inception to present. The search strategy will aim to find published systematic reviews of nature-based interventions (NBIs) where improving health and wellbeing is an explicit goal. This is a mixed method review, and systematic reviews with both quantitative and qualitative data synthesis will be considered. Two authors will independently perform the literature search, record screening, data extraction, and quality assessment of each included systematic review and meta-analysis. The individual qualitative and quantitative syntheses will be conducted in parallel and combined in an overarching narrative synthesis. The quantitative evidence will be used to assess the strength and direction of the effect of nature-based interventions on mental health and wellbeing outcomes. Evidence drawn from qualitative studies will be analysed and synthesised to understand the various pathways to engagement, involvement process and experiential factors that may mediate experiences. The risk of bias of the systematic reviews will be assessed using a 16-item Assessment of Multiple Systematic Reviews 2 (AMSTAR2) checklist. Trail registration: This review is registered on PROSPERO (CRD42022329179).
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Affiliation(s)
- Topaz Shrestha
- School of Applied Psychology, University College Cork, Cork, Ireland
| | | | - Marica Cassarino
- School of Applied Psychology, University College Cork, Cork, Ireland
- Environmental Research Institute, University College Cork, Cork, Ireland
| | - Sarah Foley
- School of Applied Psychology, University College Cork, Cork, Ireland
| | - Zelda Di Blasi
- School of Applied Psychology, University College Cork, Cork, Ireland
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Alanazi MO, Patano A, Bente G, Mason A, Goldstein D, Parsnejad S, Wyatt G, Lehto R. Nature-Based Virtual Reality Feasibility and Acceptability Pilot for Caregiver Respite. Curr Oncol 2023; 30:5995-6005. [PMID: 37504309 PMCID: PMC10378650 DOI: 10.3390/curroncol30070448] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/22/2023] [Revised: 06/14/2023] [Accepted: 06/20/2023] [Indexed: 07/29/2023] Open
Abstract
Home-based informal caregivers (CGs), such as the family members and friends of cancer patients, often suffer averse emotional symptoms, such as anxiety and depression, due to the burden associated with providing care. The natural environment has been valued as a healing sanctuary for easing emotional pain, promoting calmness, relaxation, and restoration. The use of virtual reality (VR) nature experiences offers an alternative option to CGs to manage emotional symptoms and improve their quality of life. The aim of this mixed-method pilot was to evaluate the feasibility and acceptability of a nature-based VR experience for home-based CGs. Nine informal CGs participated in a 10 min nature-based VR session and completed feasibility, acceptability, and VR symptom measures in the laboratory. Semi-structured interviews with five of the CGs provided qualitative data regarding their experiences with VR. The CGs (mean age 64.78 years) were mostly female (n = 7). Our analysis showed high feasibility (15.11 ± 1.76; range 0-16) and acceptability (15.44 ± 1.33; range 0-16), as well as low VR Symptoms (1.56 ± 1.33; range 0-27). Participants primarily expressed positive perceptions regarding VR feasibility and acceptability during interviews. Our findings show promise for the use of VR nature experiences. In the next phase of the study, the intervention will be tested on home-based informal CGs of patients at end of life.
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Affiliation(s)
- Mohammed Owayrif Alanazi
- College of Nursing, Michigan State University, East Lansing, MI 48824, USA
- Department of Nursing, College of Applied Medical Sciences, University of Bisha, Bisha 61922, Saudi Arabia
| | - Arienne Patano
- College of Nursing, Michigan State University, East Lansing, MI 48824, USA
| | - Gary Bente
- College of Communication Arts & Sciences, Michigan State University, East Lansing, MI 48824, USA
| | - Andrew Mason
- College of Engineering, Michigan State University, East Lansing, MI 48824, USA
| | - Dawn Goldstein
- College of Nursing, Michigan State University, East Lansing, MI 48824, USA
| | - Sina Parsnejad
- Texas Instruments, 1001 Winstead Dr #305, Cary, NC 27513, USA
| | - Gwen Wyatt
- College of Nursing, Michigan State University, East Lansing, MI 48824, USA
| | - Rebecca Lehto
- College of Nursing, Michigan State University, East Lansing, MI 48824, USA
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23
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Marx W, Manger SH, Blencowe M, Murray G, Ho FYY, Lawn S, Blumenthal JA, Schuch F, Stubbs B, Ruusunen A, Desyibelew HD, Dinan TG, Jacka F, Ravindran A, Berk M, O'Neil A. Clinical guidelines for the use of lifestyle-based mental health care in major depressive disorder: World Federation of Societies for Biological Psychiatry (WFSBP) and Australasian Society of Lifestyle Medicine (ASLM) taskforce. World J Biol Psychiatry 2023; 24:333-386. [PMID: 36202135 PMCID: PMC10972571 DOI: 10.1080/15622975.2022.2112074] [Citation(s) in RCA: 19] [Impact Index Per Article: 19.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/18/2022] [Revised: 07/24/2022] [Accepted: 08/07/2022] [Indexed: 01/12/2023]
Abstract
OBJECTIVES The primary objectives of these international guidelines were to provide a global audience of clinicians with (a) a series of evidence-based recommendations for the provision of lifestyle-based mental health care in clinical practice for adults with Major Depressive Disorder (MDD) and (b) a series of implementation considerations that may be applicable across a range of settings. METHODS Recommendations and associated evidence-based gradings were based on a series of systematic literature searches of published research as well as the clinical expertise of taskforce members. The focus of the guidelines was eight lifestyle domains: physical activity and exercise, smoking cessation, work-directed interventions, mindfulness-based and stress management therapies, diet, sleep, loneliness and social support, and green space interaction. The following electronic bibliographic databases were searched for articles published prior to June 2020: PubMed, EMBASE, The Cochrane Library (Cochrane Database of Systematic Reviews, Cochrane Central Register of Controlled Trials (CENTRAL), Cochrane Methodology Register), CINAHL, PsycINFO. Evidence grading was based on the level of evidence specific to MDD and risk of bias, in accordance with the World Federation of Societies for Biological Psychiatry criteria. RESULTS Nine recommendations were formed. The recommendations with the highest ratings to improve MDD were the use of physical activity and exercise, relaxation techniques, work-directed interventions, sleep, and mindfulness-based therapies (Grade 2). Interventions related to diet and green space were recommended, but with a lower strength of evidence (Grade 3). Recommendations regarding smoking cessation and loneliness and social support were based on expert opinion. Key implementation considerations included the need for input from allied health professionals and support networks to implement this type of approach, the importance of partnering such recommendations with behaviour change support, and the need to deliver interventions using a biopsychosocial-cultural framework. CONCLUSIONS Lifestyle-based interventions are recommended as a foundational component of mental health care in clinical practice for adults with Major Depressive Disorder, where other evidence-based therapies can be added or used in combination. The findings and recommendations of these guidelines support the need for further research to address existing gaps in efficacy and implementation research, especially for emerging lifestyle-based approaches (e.g. green space, loneliness and social support interventions) where data are limited. Further work is also needed to develop innovative approaches for delivery and models of care, and to support the training of health professionals regarding lifestyle-based mental health care.
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Affiliation(s)
- Wolfgang Marx
- Deakin University, Institute for Mental and Physical Health and Clinical Translation (IMPACT), Food & Mood Centre, School of Medicine, Barwon Health, Geelong, Australia
| | - Sam H Manger
- College of Medicine and Dentistry, James Cook University, Queensland, Australia
- Australasian Society of Lifestyle Medicine, Melbourne, Australia
| | - Mark Blencowe
- Australasian Society of Lifestyle Medicine, Melbourne, Australia
| | - Greg Murray
- Centre for Mental Health, Swinburne University of Technology, Melbourne, Australia
| | - Fiona Yan-Yee Ho
- Department of Psychology, The Chinese University of Hong Kong, Hong Kong SAR
| | - Sharon Lawn
- Lived Experience Australia Ltd, Adelaide, Australia
- Flinders University, College of Medicine and Public Health, Adelaide, Australia
| | - James A. Blumenthal
- Department of Psychiatry and Behavioral Sciences, Duke University Medical Center, Durham NC 27710
| | - Felipe Schuch
- Department of Sports Methods and Techniques, Federal University of Santa Maria, Santa Maria, Brazil
| | - Brendon Stubbs
- Department of Psychological Medicine, Institute of Psychiatry, Psychology and Neuroscience (IoPPN), King's College London, London, UK
| | - Anu Ruusunen
- Deakin University, Institute for Mental and Physical Health and Clinical Translation (IMPACT), Food & Mood Centre, School of Medicine, Barwon Health, Geelong, Australia
- Institute of Public Health and Clinical Nutrition, University of Eastern Finland, Kuopio, Finland
- Department of Psychiatry, Kuopio University Hospital, Kuopio, Finland
| | - Hanna Demelash Desyibelew
- Department of Nutrition and Dietetics, School of Public Health, College of Medicine and Health Sciences, Bahir Dar University, Bahir Dar, Ethiopia
| | | | - Felice Jacka
- Deakin University, Institute for Mental and Physical Health and Clinical Translation (IMPACT), Food & Mood Centre, School of Medicine, Barwon Health, Geelong, Australia
| | - Arun Ravindran
- Department of Psychiatry & Institute of Medical Sciences, University of Toronto. Centre for Addiction and Mental Health, Toronto, Canada
| | - Michael Berk
- Deakin University, Institute for Mental and Physical Health and Clinical Translation (IMPACT), Food & Mood Centre, School of Medicine, Barwon Health, Geelong, Australia
| | - Adrienne O'Neil
- Deakin University, Institute for Mental and Physical Health and Clinical Translation (IMPACT), Food & Mood Centre, School of Medicine, Barwon Health, Geelong, Australia
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Stanhope J, Weinstein P. What are green prescriptions? A scoping review. J Prim Health Care 2023; 15:155-161. [PMID: 37390033 DOI: 10.1071/hc23007] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/24/2023] [Accepted: 03/17/2023] [Indexed: 07/02/2023] Open
Abstract
Introduction Clear terminology is critical to allow accurate communication between practitioners, policy makers and the public. Aim We investigated how the term 'green prescription' has been used in the peer-reviewed literature. Methods We conducted a scoping review of the peer-reviewed literature that used the term 'green prescription(s)' and determined how this term was used. We then investigated how the term has been used over time, in different geographic locations and in different academic disciplines. Results We included 268 articles that used the term 'green prescription(s)'. We found that the phrase 'green prescription(s)' has been used since 1997 to mean a written prescription for a lifestyle change, most commonly physical activity, provided by a health practitioner. However, more recently (since 2014) the term has also been used to mean exposure to nature. Despite the emergence of this new meaning, 'green prescription' remains, in the health and medical science literature across all continents, most commonly used to describe a prescription for physical activity. Conclusion The use of the term 'green prescriptions' is inconsistent and has led to misuse of the research evidence regarding written prescriptions for exercise/diet being used to justify nature exposure to improve human health. We recommend that the term 'green prescriptions' continues to be used only as per its original definition, to refer to written prescriptions for physical activity and/or diet. For prescriptions to spend time in nature, we suggest use of the more appropriate term 'nature prescriptions'.
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Affiliation(s)
- Jessica Stanhope
- School of Biological Sciences, The University of Adelaide, North Terrace, Adelaide, South Australia 5005, Australia; and School of Allied Health Science and Practice, The University of Adelaide, North Terrace, Adelaide, South Australia 5005, Australia; and Environment Institute, The University of Adelaide, North Terrace, Adelaide, South Australia 5005, Australia
| | - Philip Weinstein
- School of Biological Sciences, The University of Adelaide, North Terrace, Adelaide, South Australia 5005, Australia; and Environment Institute, The University of Adelaide, North Terrace, Adelaide, South Australia 5005, Australia; and School of Public Health, The University of Adelaide, North Terrace, Adelaide, South Australia 5005, Australia; and South Australian Museum, North Terrace, Adelaide, South Australia 5000, Australia
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Djernis D, Lundsgaard CM, Rønn-Smidt H, Dahlgaard J. Nature-Based Mindfulness: A Qualitative Study of the Experience of Support for Self-Regulation. Healthcare (Basel) 2023; 11:healthcare11060905. [PMID: 36981567 PMCID: PMC10048623 DOI: 10.3390/healthcare11060905] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/07/2023] [Revised: 03/02/2023] [Accepted: 03/15/2023] [Indexed: 03/30/2023] Open
Abstract
Self-regulation is pivotal for human well-being and mental health. In this qualitative study, we followed a randomized controlled trial (RCT) and explored how a five-day residential mindfulness program in a restorative natural setting supported self-regulation among university students experiencing moderate to severe stress. Six participants were interviewed post intervention and at three months' follow-up on how they experienced the retreat. Through interpretative phenomenological analysis, four interrelated themes emerged: "supportive conditions", "attitudes of mindfulness", "connection" and "physical and psychological balance." These themes reflected the outcomes of the retreat that participants valued in stressful situations. A progression occurred during the retreat through the themes, with emphasis developing from the supportive conditions of the setting, to cultivating mindful attitudes, over connection to both self, others and nature, to changes and effects on the physical, psychological and even spiritual level. In addition, participants emphasized experiences of positive emotions, energy, calmness, meta-awareness and the feeling of being part of the web of life. In conclusion, participants' experiences with a five-day nature-based mindfulness intervention revealed a range of qualities of both physical-, psychological-, social- and spiritual nature that are supportive for self-regulation.
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Affiliation(s)
- Dorthe Djernis
- Department of Geosciences and Natural Resource Management, University of Copenhagen, 1958 Frederiksberg, Denmark
| | | | - Helle Rønn-Smidt
- Program for Mind and Body in Mental Health, Research Center for Health and Welfare Technology, VIA University College, 8200 Aarhus, Denmark
| | - Jesper Dahlgaard
- Program for Mind and Body in Mental Health, Research Center for Health and Welfare Technology, VIA University College, 8200 Aarhus, Denmark
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Warbrick I, Makiha R, Heke D, Hikuroa D, Awatere S, Smith V. Te Maramataka-An Indigenous System of Attuning with the Environment, and Its Role in Modern Health and Well-Being. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2023; 20:2739. [PMID: 36768123 PMCID: PMC9915707 DOI: 10.3390/ijerph20032739] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 11/04/2022] [Revised: 01/10/2023] [Accepted: 01/25/2023] [Indexed: 06/18/2023]
Abstract
The connection between the natural environment and human health is well documented in Indigenous narratives. The maramataka-a Māori system of observing the relationships between signs, rhythms, and cycles in the environment-is underpinned by generations of Indigenous knowledge, observation, and experimentation. The maramataka enabled Māori and our Pacific relatives to attune with the movements of the environment and ensure activities essential for survival and well-being were conducted at the optimal times. A recent revival of the maramataka in various communities in New Zealand is providing uniquely Indigenous ways to 'reconnect' people, and their health, with the natural environment. In a world where people have become increasingly disconnected from the natural environment, the maramataka offers an alternative to dominant perspectives of health. It also provides a mechanism to enhance the many facets of health through an understanding of the human-ecosystem relationship in a uniquely Indigenous way. This conceptual paper (i) highlights a uniquely Indigenous way of understanding the environment (the maramataka) and its connection to health, (ii) discusses the connections between the maramataka and scientific research on health and the environment, and (iii) introduces current and potential applications of the maramataka in improving health and well-being.
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Affiliation(s)
- Isaac Warbrick
- Taupua Waiora Māori Research Centre, Auckland University of Technology, Auckland 1142, New Zealand
| | - Rereata Makiha
- Tohunga, Kaumatua (Māori Elder and Environmental Expert), Kaikohe 0405, New Zealand
| | - Deborah Heke
- Taupua Waiora Māori Research Centre, Auckland University of Technology, Auckland 1142, New Zealand
| | - Daniel Hikuroa
- Te Wānanga ō Waipapa—Māori Studies, University of Auckland, Auckland 1010, New Zealand
| | - Shaun Awatere
- Manaaki Whenua—Landcare Research, Hamilton 3216, New Zealand
| | - Valance Smith
- Te Ara Poutama—Faculty of Māori and Indigenous Development, Auckland University of Technology, Auckland 1010, New Zealand
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Timko Olson ER, Olson AA, Driscoll M, Vermeesch AL. Nature-Based Interventions and Exposure among Cancer Survivors: A Scoping Review. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2023; 20:2376. [PMID: 36767741 PMCID: PMC9916332 DOI: 10.3390/ijerph20032376] [Citation(s) in RCA: 4] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 11/30/2022] [Revised: 01/20/2023] [Accepted: 01/24/2023] [Indexed: 06/18/2023]
Abstract
BACKGROUND AND PURPOSE nature-based interventions (NBI) have been shown to have positive effects on physical, psychological, social, and spiritual health. The purpose of this scoping literature review was to describe what is known regarding the cancer survivor experience in relationship to their interaction with the natural environment. Description/methods: this review was completed using the Preferred Reporting Items for Systematic reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR). The research strategy included a combination of these terms: cancer, neoplasms, nature, and forest therapy. The articles were blinded and screened by four independent researchers. A total of twelve articles were selected. Outcome/results: a total of 2786 cancer survivors participated in the twelve studies with multiple types and stages of cancer represented. The studies used multiple designs and measures. Results showed improvements in anxiety, depression, sleep, connectedness, stress, tension, confusion, fatigue, and pain. Participants reported that nature was the most important resource in coping with their cancer. CONCLUSIONS AND IMPLICATIONS nature is beneficial for cancer survivors while they experience cancer diagnosis and treatment. Nature opportunities can be feasibly delivered with this population and need to be explored further and safely implemented to support the overall health and well-being of cancer survivors.
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Affiliation(s)
- Erica R. Timko Olson
- School of Nursing, University of Minnesota—Twin Cities, 308 Harvard St. SE, Minneapolis, MN 55455, USA
| | | | - Megan Driscoll
- School of Nursing, University of Minnesota—Twin Cities, 308 Harvard St. SE, Minneapolis, MN 55455, USA
| | - Amber L. Vermeesch
- Department of Family and Community Nursing, School of Nursing, University of North Carolina Greensboro, Greensboro, NC 27403, USA
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Vitagliano LA, Wester KL, Jones CT, Wyrick DL, Vermeesch AL. Group Nature-Based Mindfulness Interventions: Nature-Based Mindfulness Training for College Students with Anxiety. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2023; 20:1451. [PMID: 36674206 PMCID: PMC9860632 DOI: 10.3390/ijerph20021451] [Citation(s) in RCA: 3] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 11/21/2022] [Revised: 01/04/2023] [Accepted: 01/11/2023] [Indexed: 06/17/2023]
Abstract
The mental health crisis across college campuses is accelerating, with anxiety listed as the top mental health issue for undergraduate college students. Although evidence suggests the COVID-19 pandemic escalated the mental health crisis on college campuses, pre-COVID-19 anxiety among college students was on the rise. Research supports Mindfulness Based Interventions (MBIs) to reduce anxiety among college students. Additionally, exposure to natural environments, which are accessible to students on college campuses, is effective in reducing anxiety. While brief nature-based mindfulness interventions appear effective in reducing anxiety among college students, these interventions are often offered in isolation without social interaction among group members and lack intentional integration of mindfulness and nature-related theories. The purpose of this work is to describe a framework for integrating the use of Mindfulness and Attention Restoration Theory (ART) in an innovative psychoeducational group intervention, Nature-Based Mindfulness Training © (NBMT), for college students with anxiety. In conclusion, we argue for the need to intentionally integrate mindfulness and nature into nature-based mindfulness interventions as an effective and sustainable means to reduce anxiety. Limitations and areas for future research are described.
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Affiliation(s)
- Luke A. Vitagliano
- Department of Counseling and Educational Development, University of North Carolina Greensboro, 1400 Spring Garden Street, Greensboro, NC 27412, USA
| | - Kelly L. Wester
- Department of Counseling and Educational Development, University of North Carolina Greensboro, 1400 Spring Garden Street, Greensboro, NC 27412, USA
| | - Connie T. Jones
- Department of Counseling and Educational Development, University of North Carolina Greensboro, 1400 Spring Garden Street, Greensboro, NC 27412, USA
| | - David L. Wyrick
- Department of Public Health Education, University of North Carolina Greensboro, 1400 Spring Garden Street, Greensboro, NC 27412, USA
| | - Amber L. Vermeesch
- Department of Family and Community Nursing, School of Nursing, University of North Carolina Greensboro, 1007 Walker Avenue, Greensboro, NC 27402, USA
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Bentley PR, Fisher JC, Dallimer M, Fish RD, Austen GE, Irvine KN, Davies ZG. Nature, smells, and human wellbeing. AMBIO 2023; 52:1-14. [PMID: 35849312 PMCID: PMC9289359 DOI: 10.1007/s13280-022-01760-w] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/29/2022] [Revised: 06/15/2022] [Accepted: 06/17/2022] [Indexed: 06/12/2023]
Abstract
The link between nature and human wellbeing is well established. However, few studies go beyond considering the visual and auditory underpinnings of this relationship, even though engaging with nature is a multisensory experience. While research linking smell to wellbeing exists, it focuses predominantly on smells as a source of nuisance/offence. Smells clearly have a prominent influence, but a significant knowledge gap remains in the nexus of nature, smell, and wellbeing. Here, we examine how smells experienced in woodlands contribute to wellbeing across four seasons. We show that smells are associated with multiple wellbeing domains, both positively and negatively. They are linked to memories, and specific ecological characteristics and processes over space/time. By making the link between the spatiotemporal variability in biodiversity and wellbeing explicit, we unearth a new line of enquiry. Overall, the multisensory experience must be considered by researchers, practitioners, policy-makers and planners looking to improve wellbeing through nature.
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Affiliation(s)
- Phoebe R Bentley
- Durrell Institute of Conservation and Ecology (DICE), School of Anthropology and Conservation, University of Kent, Canterbury, CT2 8NR, UK
| | - Jessica C Fisher
- Durrell Institute of Conservation and Ecology (DICE), School of Anthropology and Conservation, University of Kent, Canterbury, CT2 8NR, UK.
| | - Martin Dallimer
- Sustainability Research Institute, School of Earth and Environment, University of Leeds, Leeds, LS9 2JT, UK
| | - Robert D Fish
- Durrell Institute of Conservation and Ecology (DICE), School of Anthropology and Conservation, University of Kent, Canterbury, CT2 8NR, UK
| | - Gail E Austen
- Durrell Institute of Conservation and Ecology (DICE), School of Anthropology and Conservation, University of Kent, Canterbury, CT2 8NR, UK
| | - Katherine N Irvine
- Social, Economic and Geographic Sciences Department, James Hutton Institute, Craigiebuckler, Aberdeen, AB15 8QH, UK
| | - Zoe G Davies
- Durrell Institute of Conservation and Ecology (DICE), School of Anthropology and Conservation, University of Kent, Canterbury, CT2 8NR, UK
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Overbey TA, Diekmann F, Lekies KS. Nature-based interventions for vulnerable youth: a scoping review. INTERNATIONAL JOURNAL OF ENVIRONMENTAL HEALTH RESEARCH 2023; 33:15-53. [PMID: 34758663 DOI: 10.1080/09603123.2021.1998390] [Citation(s) in RCA: 5] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/30/2021] [Accepted: 10/20/2021] [Indexed: 06/13/2023]
Abstract
Nature-based interventions hold promise for vulnerable youth experiencing mental, emotional, developmental, behavioral, or social difficulties. This scoping review examined wilderness therapy, animal assisted therapy, care farming, and gardening and horticultural therapy programs to raise awareness and guide future development of research and treatment options. Studies included in this review were identified through a systematic search of the literature informed by a scoping review framework. Studies were examined by design, sample, intervention, and key findings. The majority of studies were quantitative using repeated measures designs and were conducted primarily in the United States. Sample sizes were generally small. Interventions were residential and community based with varying degrees of duration. Outcomes were largely positive across a wide range of psychosocial and behavioral measures and often maintained post-treatment. We emphasize the importance of robust empirical designs, comprehensive description of the interventions and surrounding therapies, and identification of target groups.
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Affiliation(s)
- Tracey A Overbey
- University Libraries, The Ohio State University, Columbus, Ohio, USA
| | - Florian Diekmann
- Food Agricultural, and Environmental Sciences Library, The Ohio State University, Columbus, Ohio, USA
| | - Kristi S Lekies
- School of Environment and Natural Resources, The Ohio State University, Columbus, Ohio, USA
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Newman J, Rivkin I, Brooks C, Turco K, Bifelt J, Ekada L, Philip J. Indigenous Knowledge: Revitalizing Everlasting Relationships between Alaska Natives and Sled Dogs to Promote Holistic Wellbeing. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 20:244. [PMID: 36612566 PMCID: PMC9819902 DOI: 10.3390/ijerph20010244] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 10/09/2022] [Revised: 12/05/2022] [Accepted: 12/05/2022] [Indexed: 06/17/2023]
Abstract
INTRODUCTION Indigenous peoples have documented their culture's history in oral stories, revealing lessons about holistic relationships fostering perseverance. Despite vast differences in time, relationships and stories are equally important today. Athabascans retain their values, life skills, and wellness through cultural practices. Creating opportunities for youths to learn through reciprocal relationships increases wellness in Indigenous communities, highlighting the significance of community-developed programs that connect youths to their place and culture. METHOD Athabascan youths in rural Alaska get hands-on experience and Elder mentorship working with sled dogs in the Frank Attla Youth and Sled Dog Care-Mushing Program (FAYSDP). Through a community-based participatory research partnership with the community of Huslia and Jimmy Huntington School, we examined how FAYSDP affects youths, and how relationships within culture and land promote wellbeing. Fifteen middle and high-school youths shared their perspectives on how FAYSDP impacts them and their community using photovoice and digital storytelling. Nineteen adults contributed their perspectives in focus groups. We used emerging themes (inductive) and Athabascan cultural values and elements of social capital (deductive approaches) to analyze the qualitative data. RESULTS Findings illustrate how FAYSDP promotes wellbeing by empowering youths to apply what they learn to generate their own knowledge, while centering communities around culturally significant practices such as dog mushing. It connects youths to their home and their cultural values, using dogs as the driving force to bridge generations and foster youth wellness. DISCUSSION We discuss implications for community-based programs that engage Elders as teachers and the land as their classroom to promote youth holistic wellness.
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Affiliation(s)
- Janessa Newman
- Tamamta Fellowship, University of Alaska Fairbanks, Fairbanks, AK 99775, USA
| | - Inna Rivkin
- Department of Psychology and Center for Alaska Native Health Research, University of Alaska Fairbanks, Fairbanks, AK 99775, USA
| | - Cathy Brooks
- Department of Alaska Native Studies and Rural Development, University of Alaska Fairbanks, Fairbanks, AK 99775, USA
| | - Kathy Turco
- Alaska’s Spirit Speaks: Sound & Science, Fairbanks, AK 99709, USA
- A-CHILL (Alaska Care and Husbandry Instruction for Lifelong Learning) Project, Tok, AK 99780, USA
| | - Joseph Bifelt
- Rampart School (Yukon-Koyukuk School District), Rampart, AK 99767, USA
| | - Laura Ekada
- BLaST (Biomedical Learning and Student Training) Program, University of Alaska Fairbanks, Fairbanks, AK 99775, USA
| | - Jacques Philip
- Center for Alaska Native Health Research, University of Alaska Fairbanks, Fairbanks, AK 99775, USA
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Thomas T, Aggar C, Baker J, Massey D, Thomas M, D’Appio D, Brymer E. Social prescribing of nature therapy for adults with mental illness living in the community: A scoping review of peer-reviewed international evidence. Front Psychol 2022; 13:1041675. [PMID: 36562055 PMCID: PMC9765656 DOI: 10.3389/fpsyg.2022.1041675] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/11/2022] [Accepted: 11/16/2022] [Indexed: 12/12/2022] Open
Abstract
Social prescribing of nature therapy "green social prescribing" facilitates access to local nature-based activities that improve biopsychosocial wellbeing outcomes, are affordable, accessible, and can be adapted to context. These are becoming increasingly popular and gray literature is emerging, however, peer-reviewed scientific evidence is exiguous. This scoping review aimed to identify and critique peer-reviewed evidence for green social prescribing interventions and develop recommendations for research and clinical practice. Included studies were published in peer-reviewed journals in English on/after 1 January 2000. Participants were community-living adults with mental illness; Intervention was any green social prescribing program; Comparator was not restricted/required; Outcomes were any biopsychosocial measures; and any/all Study Designs were included. Twelve databases were searched on 15 October 2022; these were Academic Search Premier, APA PsycArticles, APA PsycINFO, CINAHL, Cochrane Library, Google Scholar, JSTOR, ProQuest, PubMed, Science Direct, Scopus, and Web of Science. The Mixed Methods Appraisal Tool was used to assess quality. Seven publications describing 6 unique studies (5 UK, 1 Australia) were identified including 3 mixed-methods, 2 qualitative, and 1 RCT. Participants included 334 adults (45% female, aged 35-70 years); sample sizes ranged from 9 to 164. All studies showed improvements in biopsychosocial wellbeing, and participants from most studies (n = 5) reported increased connection to the earth and intention to further access nature. Participant demographics and diagnoses were poorly reported, and intervention activities and assessments varied considerably. However, MMAT scores were good overall suggesting these studies may reliably demonstrate intervention outcomes. We conclude that socially prescribed nature therapy can improve biopsychosocial wellbeing and is a potentially important intervention for mental illness. Recommendations for research and clinical practice are provided.
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Affiliation(s)
- Tamsin Thomas
- Faculty of Health, Southern Cross University, Bilinga, QLD, Australia
| | - Christina Aggar
- Faculty of Health, Southern Cross University, Bilinga, QLD, Australia
- Northern NSW Local Health District, Lismore, NSW, Australia
| | - James Baker
- Primary and Community Care Services, Thornleigh, NSW, Australia
| | - Debbie Massey
- Faculty of Health, Southern Cross University, Bilinga, QLD, Australia
| | - Megan Thomas
- Graduate School of Medicine, University of Wollongong, Keiraville, NSW, Australia
| | - Daniel D’Appio
- Primary and Community Care Services, Thornleigh, NSW, Australia
| | - Eric Brymer
- Faculty of Health, Southern Cross University, Bilinga, QLD, Australia
- Manna Institute, University of New England, Armidale, NSW, Australia
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Kim E, Park S, Kim S, Choi Y, Cho JH, Kim G. Is altitude a determinant of the health benefits of nature exposure? A systematic review and meta-analysis. Front Public Health 2022; 10:1021618. [PMID: 36504926 PMCID: PMC9732270 DOI: 10.3389/fpubh.2022.1021618] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/18/2022] [Accepted: 11/11/2022] [Indexed: 11/27/2022] Open
Abstract
Introduction Nature exposure is a widely accepted option for promoting public health owing to the recent surge of scientific evidence. However, the actual settings to facilitate this initiative is yet to be extensively reviewed. In this systematic review, we have aimed to provide an up-to-date summary of interventional studies investigating the psycho-physiological effects of forests and urban forests, including details on their physical settings, and investigate an effect-modifying role of altitude and summarize data on the magnitude and shape of the association. Methods A keyword search using five electronic academic databases (PubMed, Embase, PsycINFO, Web of Science, and Scopus) was conducted to identify relevant articles published in English from the inception year to the end of February 2022. The methodological quality was evaluated using the ROBINS-I or ROB2 tool, depending on the study design. Meta-regression and random effects model were jointly used to examine the relationship between altitude and health outcomes. Results We included 27 eligible studies and 31 cases extracted from 19 studies were used for the meta-analysis. In the meta-regression, we observed a non-linear association between altitude and psycho-physiological effects. Altitude had a positive quadratic association with anxiety (p < 0.000, adjusted R 2 = 96.79%), depression (p < 0.000, adjusted R 2 = 98.78%), and fatigue (p < 0.000, adjusted R 2 = 64.74%) alleviating effects. Conversely, altitude demonstrated a negative non-linear association with the blood pressure-lowering effect (p = 0.009, adjusted R 2 = 32.83%). Additionally, the thermal index (THI) and illuminance (lx) levels were significantly associated with effect sizes of psychological restoration. Discussion This review provides moderate-certainty evidence for an effect-modifying role of altitude. The meta-regression results suggested the optimal and minimal altitude ranges for psychological restoration and physiological relaxation, respectively. Despite some limitations, the study findings provide a significant basis for utilizing altitude, which is easily accessible and simple, to promote the health benefits of nature-based initiatives. Systematic review registration https://www.crd.york.ac.uk/prospero/display_record.php?ID=CRD42022310894, identifier: CRD42022310894.
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Fatima Y, Liu Y, Cleary A, Dean J, Smith V, King S, Solomon S. Connecting the health of country with the health of people: Application of "caring for country" in improving the social and emotional well-being of Indigenous people in Australia and New Zealand. THE LANCET REGIONAL HEALTH: WESTERN PACIFIC 2022; 31:100648. [PMCID: PMC9700301 DOI: 10.1016/j.lanwpc.2022.100648] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/24/2022] [Revised: 10/03/2022] [Accepted: 11/02/2022] [Indexed: 11/27/2022]
Abstract
Emerging evidence from the western literature suggests an increasing focus on applying nature-based interventions for mental health improvements. However, in Indigenous communities, caring for country has always been central to the Indigenous way of life. Knowing that nature-based interventions effectively improve mental health outcomes, this review collated evidence on the application of caring for country in improving social and emotional well-being (SEWB) of Indigenous peoples in Australia and New Zealand. Three studies from Australia and one from New Zealand, explored the role of country or whenua (land) in the lives of Indigenous people. Participation in caring-for country activities was associated with lower levels of psychological distress and strengthened guardianship relationship with country, which positively affected SEWB. This systematic review offers preliminary evidence on the role of caring for country activities in improving the SEWB of Indigenous peoples and highlights the need for strengths-based approaches to improve the SEWB of Indigenous peoples. Funding None.
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Affiliation(s)
- Yaqoot Fatima
- Institute for Social Science Research, The University of Queensland, Indooroopilly, Queensland, Australia,ARC Centre of Excellence for Children and Families over the Life Course (The Life Course Centre), The University of Queensland, Indooroopilly, Queensland, Australia,Murtupuni Centre for Rural and Remote Health, James Cook University, Queensland, Australia,Corresponding author. Institute for Social Science Research, University of Queensland, Indooroopilly, Queensland, Australia.
| | - Yongbo Liu
- Institute for Social Science Research, The University of Queensland, Indooroopilly, Queensland, Australia,ARC Centre of Excellence for Children and Families over the Life Course (The Life Course Centre), The University of Queensland, Indooroopilly, Queensland, Australia
| | - Anne Cleary
- Institute for Social Science Research, The University of Queensland, Indooroopilly, Queensland, Australia
| | - Julie Dean
- Institute for Social Science Research, The University of Queensland, Indooroopilly, Queensland, Australia
| | - Valance Smith
- Auckland University of Technology, Auckland, New Zealand
| | - Stephanie King
- Murtupuni Centre for Rural and Remote Health, James Cook University, Queensland, Australia
| | - Shaun Solomon
- Murtupuni Centre for Rural and Remote Health, James Cook University, Queensland, Australia
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He Y, Jorgensen A, Sun Q, Corcoran A, Alfaro-Simmonds MJ. Negotiating Complexity: Challenges to Implementing Community-Led Nature-Based Solutions in England Pre- and Post-COVID-19. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:14906. [PMID: 36429624 PMCID: PMC9691162 DOI: 10.3390/ijerph192214906] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/13/2022] [Revised: 11/05/2022] [Accepted: 11/09/2022] [Indexed: 06/16/2023]
Abstract
Nature-based solutions (NbS), including green social prescribing (GSP), are sustainable ways to address health and wellbeing, especially since the COVID-19 pandemic exacerbated the strain on healthcare. NbS require national and local cross-sector coordination across complex, interrelated systems, but little is known about the specific challenges this poses for community-led NbS. We carried out a traditional literature review to establish the context and knowledge base for this study and interviewed 26 stakeholders. These came from environment, health and social care sectors at national and local levels, with local-level stakeholders from Bradford and Walsall: English cities significantly affected by the pandemic, with high levels of deprivation and health inequality. The interviews explored experiences of implementing NbS, both pre- and post-pandemic and the resulting renewed interest in the salutogenic effects of engaging with natural environments. We coded the interview transcriptions using NVivo to identify the challenges existing in the systems within which these stakeholders operate to create and manage NbS. By synthesizing what is known about the challenges from existing literature with findings from the interviews, we developed eight categories of challenges (perception and knowledge, political, financial, access to natural spaces, engagement, institutional and organisational, coordination, GSP referral and services) faced by multiple sectors in implementing community-led NbS in England. Furthermore, this study highlights the new challenges related to the pandemic. Identifying these challenges helps stakeholders in existing complex systems recognise what is needed to support and mainstream NbS in England.
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Affiliation(s)
- Yichao He
- Department of Landscape Architecture, University of Sheffield, The Arts Tower, Sheffield S10 2TN, UK
| | - Anna Jorgensen
- Department of Landscape Architecture, University of Sheffield, The Arts Tower, Sheffield S10 2TN, UK
| | - Qian Sun
- School of Design, Royal College of Art, Kensington Gore, London SW7 2EU, UK
| | - Amy Corcoran
- School of Design, Royal College of Art, Kensington Gore, London SW7 2EU, UK
| | - Maria Jesus Alfaro-Simmonds
- Just Futures Centre for Child, Youth, Family and Community Research, School of Human and Health Sciences, University of Huddersfield, Queensgate, Huddersfield HD1 3DH, UK
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Perspectives on Inequity and Health Disparities in Chile and Their Relationship to Microbial Ecology. mSystems 2022; 7:e0149621. [PMID: 36173132 PMCID: PMC9600356 DOI: 10.1128/msystems.01496-21] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/24/2022] Open
Abstract
Among countries in the Organisation for Economic Cooperation and Development (OECD), Chile stands out as having important inequalities in income distribution, dietary quality, access to urban green spaces, and health outcomes. People in lower socioeconomic groups consistently show higher rates of noncommunicable chronic diseases and are being hit the hardest by the COVID-19 pandemic. These chronic conditions are increasingly considered to be shaped, or affected by, the human gut microbiome. Moreover, inequity as an overarching concept might also be associated with microbial patterns and if so, this may represent a novel pathway through which to address health and other disparities. Focusing on the case of Chile, our goal is to contribute to a critical discussion and motivate researchers and policymakers to consider the role of the microbiome in social equity in future endeavors.
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Firby H, Raine R. Engaging with nature and the outdoors: A scoping review of therapeutic applications in contemporary occupational therapy. Br J Occup Ther 2022. [DOI: 10.1177/03080226221126893] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Introduction: Engagement with the natural outdoors is recommended for public health and wellbeing. Occupational therapists are well-placed to promote these therapeutic benefits, yet limited evidence exists of the scope of such applications. Methods: A scoping review was conducted informed by the Joanna Briggs Institute framework. A systematic search was undertaken across five databases, and 64 sources were included following screening. Data were extracted using deductive content analysis, and themes identified through thematic analysis. Findings: Three themes were identified: occupation-based applications; occupation-focused applications; and occupational therapy’s contribution. Whilst current applications were evident, most literature explored potential or emerging practice. Outdoor engagement was found to be a complex, therapeutic occupation with the potential to promote mental health and restoration; quality of life and wellbeing; and healthy lifestyles through connection to nature; others; and self . Conclusion: Occupational therapists enable outdoor engagement through occupation-focused and occupation-based interventions across a range of practice contexts. Occupational science may offer a valuable contribution to the evidence base, through considering being in nature as a meaningful occupation and outdoor accessibility as a matter of occupational justice. However, evidence of current practice is limited. Further research is recommended to strengthen the evidence-base and inform routine consideration within practice.
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Affiliation(s)
- Heather Firby
- Cornwall Partnership NHS Foundation Trust, Bodmin, UK
- University of Plymouth, Plymouth, UK
| | - Rosi Raine
- School of Health Professions, University of Plymouth, Plymouth, UK
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38
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Jones RJF, Littzen COR. An Analysis of Theoretical Perspectives in Research on Nature-Based Interventions and Pain. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:12740. [PMID: 36232042 PMCID: PMC9566272 DOI: 10.3390/ijerph191912740] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/15/2022] [Revised: 09/26/2022] [Accepted: 09/29/2022] [Indexed: 06/16/2023]
Abstract
Chronic pain results from a complex series of biomechanical, inflammatory, neurological, psychological, social, and environmental mechanisms. Pain and pain-related diseases are the leading causes of disability and disease burden globally. Employing nature-based interventions for the treatment of pain is an emerging field. Current theory driving the suggested mechanism(s) linking the pain reducing effects of nature-based interventions is lacking. A two-step approach was taken to complete a theoretical review and analysis. First, a literature review was completed to gather a substantive amount of research related to theoretical frameworks on the topic of nature-based interventions and pain. Secondly, a theoretical analysis as proposed by Walker and Avant was completed to explore current theoretical frameworks accepted in the literature on nature-based interventions and pain. Stress reduction theory and attention restoration theory were the most common theoretical frameworks identified. Neither theoretical framework explicitly identifies, describes, or intends to adequately measure the concept of pain, revealing a limitation for their application in research with nature-based interventions and pain. Theoretical development is needed, as it pertains to nature-based interventions and pain. Without this development, research on nature-based interventions and pain will continue to use proxy concepts for measurement and may result in misrepresented findings.
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Affiliation(s)
- Reo J. F. Jones
- School of Nursing, Oregon Health & Science University, Portland, OR 97239, USA
- School of Nursing and Health Innovations, The University of Portland, Portland, OR 97203, USA
| | - Chloé O. R. Littzen
- School of Nursing and Health Innovations, The University of Portland, Portland, OR 97203, USA
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Wang Y, Chang Q, Fan P, Shi X. From urban greenspace to health behaviors: An ecosystem services-mediated perspective. ENVIRONMENTAL RESEARCH 2022; 213:113664. [PMID: 35700761 DOI: 10.1016/j.envres.2022.113664] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/11/2021] [Revised: 04/19/2022] [Accepted: 06/09/2022] [Indexed: 06/15/2023]
Abstract
Urban greenspace can provide important health benefits for urban residents, but knowledge about the potential mechanisms remains unclear, and it is challenging in promoting health behaviors through design and management practices. This study proposed a hypothetical model that assumed ecosystem services as mediating factors between urban greenspace and health behaviors. An urban park in Beijing was selected as a case area to test the hypothesis and identify the ecosystem services-mediated pathways. Results based on spatial explicit mapping and multivariate statistical analysis confirmed the hypothesis and showed that urban greenspaces contribute to health behaviors in varying degrees through the delivery of health behaviors-related ecosystem services. The promotion effect was mainly mediated by cultural services, which is much more obvious than regulating services. We identified the importance of different properties of inner urban greenspace in promoting health behaviors through ecosystem services-mediated pathways. Green elements, especially tree canopy shaded ground, were found to contribute the most to health behaviors in the pathways, and slightly higher than facilities and grey elements. To promote health benefits, the design and arrangement of facilities and grey elements in urban greenspace is suggested to be cooperated with green elements for enhancing multiple ecosystem services. The findings will enhance the understanding of potential theoretical pathways from urban greenspace to health benefits, and support health promotion-oriented design and management practices.
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Affiliation(s)
- Yanan Wang
- Department of Landscape Architecture, College of Horticulture, China Agricultural University, Beijing, 100193, China
| | - Qing Chang
- Department of Landscape Architecture, College of Horticulture, China Agricultural University, Beijing, 100193, China.
| | - Peilei Fan
- School of Planning, Design, and Construction and Center for Global Change and Earth Observations, Michigan State University, East Lansing, MI, 48824, USA
| | - Xiaoxiao Shi
- Department of Landscape Architecture, College of Horticulture, China Agricultural University, Beijing, 100193, China
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Robinson JM, Aronson J, Daniels CB, Goodwin N, Liddicoat C, Orlando L, Phillips D, Stanhope J, Weinstein P, Cross AT, Breed MF. Ecosystem restoration is integral to humanity's recovery from COVID-19. Lancet Planet Health 2022; 6:e769-e773. [PMID: 36087607 PMCID: PMC9451495 DOI: 10.1016/s2542-5196(22)00171-1] [Citation(s) in RCA: 6] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/23/2021] [Revised: 06/30/2022] [Accepted: 07/13/2022] [Indexed: 05/19/2023]
Abstract
COVID-19 has devastated global communities and economies. The pandemic has exposed socioeconomic disparities and weaknesses in health systems worldwide. Long-term health effects and economic recovery are major concerns. Ecosystem restoration-ie, the repair of ecosystems that have been degraded-relates directly to tackling the health and socioeconomic burdens of COVID-19, because stable and resilient ecosystems are fundamental determinants of health and socioeconomic stability. Here, we use COVID-19 as a case study, showing how ecosystem restoration can reduce the risk of infection and adverse sequelae and have an integral role in humanity's recovery from COVID-19. The next decade will be crucial for humanity's recovery from COVID-19 and for ecosystem repair. Indeed, in the absence of effective, large-scale restoration, 95% of the Earth's land could be degraded by 2050. The UN Decade on Ecosystem Restoration (2021-30) declaration reflects the growing urgency and scale at which we should repair ecosystems. Importantly, ecosystem restoration could also help to combat the health and socioeconomic issues that are associated with COVID-19, yet it is poorly integrated into current responses to the disease. Ecosystem restoration can be a core public health intervention and assist in COVID-19 recovery if it is closely integrated with socioeconomic, health, and environmental policies.
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Affiliation(s)
- Jake M Robinson
- College of Science and Engineering, Flinders University, Bedford Park, SA, Australia
| | - James Aronson
- Center for Conservation and Sustainable Development, Missouri Botanical Garden, St Louis, MO, USA
| | | | - Neva Goodwin
- Economics in Context Initiative, Boston University, Boston, MA, USA
| | - Craig Liddicoat
- College of Science and Engineering, Flinders University, Bedford Park, SA, Australia; School of Public Health, The University of Adelaide, Adelaide SA, Australia
| | - Laura Orlando
- School of Public Health, Boston University, Boston, MA, USA
| | - David Phillips
- Department of Medical Science and Public Health, Bournemouth University, Poole, UK
| | - Jessica Stanhope
- School of Allied Health Science and Practice, The University of Adelaide, Adelaide SA, Australia
| | - Philip Weinstein
- School of Public Health, The University of Adelaide, Adelaide SA, Australia
| | - Adam T Cross
- School of Molecular and Life Sciences, Curtin University, Bentley, WA, Australia.
| | - Martin F Breed
- College of Science and Engineering, Flinders University, Bedford Park, SA, Australia.
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Mohan A, Malhotra S, Narayanan M, White H, Gaffney H. PROTOCOL: The effectiveness of wilderness therapy and adventure learning in reducing anti-social and offending behaviour in children and young people at risk of offending. CAMPBELL SYSTEMATIC REVIEWS 2022; 18:e1270. [PMID: 36909887 PMCID: PMC9428765 DOI: 10.1002/cl2.1270] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Indexed: 06/18/2023]
Abstract
This is the protocol for a Campbell systematic review. The objectives are as follows. The review will address the following research questions: (1) What are the long- and short-term effects of wilderness therapy and adventure learning on anti-social behaviour and violent and other offending behaviour? What factors explain any heterogeneity (i.e., moderate) these effects. What are the long- and short-term effects of wilderness therapy and adventure learning on intermediate mental health and behaviour outcomes such as social skills and self-regulation? What factors explain any heterogeneity (i.e., moderate) these effects? Factors such as setting (indoor/outdoor), quality of relationship with counsellors and the degree of the challenge element involved are important moderators of these effects, and help explain any observed heterogeneity across studies (2) What are the barriers and facilitators affecting the successful implementation of wilderness therapy and adventure learning programmes? (3) Are wilderness therapy and adventure learning interventions cost effective?
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42
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Labib SM, Browning MHEM, Rigolon A, Helbich M, James P. Nature's contributions in coping with a pandemic in the 21st century: A narrative review of evidence during COVID-19. THE SCIENCE OF THE TOTAL ENVIRONMENT 2022; 833:155095. [PMID: 35395304 DOI: 10.32942/osf.io/j2pa8] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/18/2022] [Revised: 03/29/2022] [Accepted: 04/03/2022] [Indexed: 05/23/2023]
Abstract
While COVID-19 lockdowns have slowed coronavirus transmission, such structural measures also have unintended consequences on mental and physical health. Growing evidence shows that exposure to the natural environment (e.g., blue-green spaces) can improve human health and wellbeing. In this narrative review, we synthesized the evidence about nature's contributions to health and wellbeing during the first two years of the COVID-19 pandemic. We found that during the pandemic, people experienced multiple types of nature, including both outdoors and indoors. Frequency of visits to outdoor natural areas (i.e., public parks) depended on lockdown severity and socio-cultural contexts. Other forms of nature exposure, such as spending time in private gardens and viewing outdoor greenery from windows, may have increased. The majority of the evidence suggests nature exposure during COVID-19 pandemic was associated with less depression, anxiety, stress, and more happiness and life satisfaction. Additionally, nature exposure was correlated with less physical inactivity and fewer sleep disturbances. Evidence was mixed regarding associations between nature exposure and COVID-related health outcomes, while nature visits might be associated with greater rates of COVID-19 transmission and mortality when proper social distancing measures were not maintained. Findings on whether nature exposure during lockdowns helped ameliorate health inequities by impacting the health of lower-socioeconomic populations more than their higher-socioeconomic counterparts for example were mixed. Based on these findings, we argue that nature exposure may have buffered the negative mental and behavioral impacts of lockdowns during the COVID-19 pandemic. Recovery and resilience during the current crises and future public health crises might be improved with nature-based infrastructure, interventions, designs, and governance.
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Affiliation(s)
- S M Labib
- Department of Human Geography and Spatial Planning, Faculty of Geosciences, Utrecht University, 3584 CB Utrecht, The Netherlands.
| | - Matthew H E M Browning
- Department of Parks, Recreation, and Tourism Management, Clemson University, Clemson, SC, 29631, USA
| | - Alessandro Rigolon
- Department of City and Metropolitan Planning, The University of Utah, Salt Lake City, UT 84112, USA
| | - Marco Helbich
- Department of Human Geography and Spatial Planning, Faculty of Geosciences, Utrecht University, 3584 CB Utrecht, The Netherlands
| | - Peter James
- Department of Population Medicine, Harvard Medical School and Harvard Pilgrim Health Care Institute, 401 Park Drive, Boston, MA 02215, USA; Department of Environmental Health, Harvard T. H. Chan School of Public Health, 655 Huntington Avenue, Boston, MA 02115, USA
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43
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Labib SM, Browning MHEM, Rigolon A, Helbich M, James P. Nature's contributions in coping with a pandemic in the 21st century: A narrative review of evidence during COVID-19. THE SCIENCE OF THE TOTAL ENVIRONMENT 2022; 833:155095. [PMID: 35395304 PMCID: PMC8983608 DOI: 10.1016/j.scitotenv.2022.155095] [Citation(s) in RCA: 38] [Impact Index Per Article: 19.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 01/18/2022] [Revised: 03/29/2022] [Accepted: 04/03/2022] [Indexed: 04/14/2023]
Abstract
While COVID-19 lockdowns have slowed coronavirus transmission, such structural measures also have unintended consequences on mental and physical health. Growing evidence shows that exposure to the natural environment (e.g., blue-green spaces) can improve human health and wellbeing. In this narrative review, we synthesized the evidence about nature's contributions to health and wellbeing during the first two years of the COVID-19 pandemic. We found that during the pandemic, people experienced multiple types of nature, including both outdoors and indoors. Frequency of visits to outdoor natural areas (i.e., public parks) depended on lockdown severity and socio-cultural contexts. Other forms of nature exposure, such as spending time in private gardens and viewing outdoor greenery from windows, may have increased. The majority of the evidence suggests nature exposure during COVID-19 pandemic was associated with less depression, anxiety, stress, and more happiness and life satisfaction. Additionally, nature exposure was correlated with less physical inactivity and fewer sleep disturbances. Evidence was mixed regarding associations between nature exposure and COVID-related health outcomes, while nature visits might be associated with greater rates of COVID-19 transmission and mortality when proper social distancing measures were not maintained. Findings on whether nature exposure during lockdowns helped ameliorate health inequities by impacting the health of lower-socioeconomic populations more than their higher-socioeconomic counterparts for example were mixed. Based on these findings, we argue that nature exposure may have buffered the negative mental and behavioral impacts of lockdowns during the COVID-19 pandemic. Recovery and resilience during the current crises and future public health crises might be improved with nature-based infrastructure, interventions, designs, and governance.
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Affiliation(s)
- S M Labib
- Department of Human Geography and Spatial Planning, Faculty of Geosciences, Utrecht University, 3584 CB Utrecht, The Netherlands.
| | - Matthew H E M Browning
- Department of Parks, Recreation, and Tourism Management, Clemson University, Clemson, SC, 29631, USA
| | - Alessandro Rigolon
- Department of City and Metropolitan Planning, The University of Utah, Salt Lake City, UT 84112, USA
| | - Marco Helbich
- Department of Human Geography and Spatial Planning, Faculty of Geosciences, Utrecht University, 3584 CB Utrecht, The Netherlands
| | - Peter James
- Department of Population Medicine, Harvard Medical School and Harvard Pilgrim Health Care Institute, 401 Park Drive, Boston, MA 02215, USA; Department of Environmental Health, Harvard T. H. Chan School of Public Health, 655 Huntington Avenue, Boston, MA 02115, USA
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44
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Wong JL, Powell RA. Untapped potential of nature-based activities for mental health: need for further research. Int Rev Psychiatry 2022; 34:537-540. [PMID: 36165752 DOI: 10.1080/09540261.2022.2125289] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/14/2022]
Abstract
In April 2022, the Intergovernmental Panel on Climate Change stated clearly that without immediate and deep reductions in greenhouse gas emissions, it would be impossible to limit global temperature rise to 1.5 °C above pre-industrial levels. A growing body of research shows an increasing reaction to witnessing or experiencing current climate impacts and concern regarding apparent inaction in response, manifests as negative cognitive, emotional, and behavioural responses, including eco-anxiety. This commentary contends that nature-based activities (NBAs) have a potentially important, but currently neglected, role to play in supporting those experiencing eco-anxiety. However, existing research limitations hinder their adoption in the United Kingdom's social prescribing agenda and they remain a largely untapped therapeutic resource that need to be mainstreamed into clinical and social care provision. The paper calls for investment in research that advances our understanding of the individual and community benefits of NBAs, the longevity of their impact, and their associated, comparative and opportunity costs.
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Affiliation(s)
| | - Richard A Powell
- Department of Primary Care and Public Health, Faculty of Medicine, Imperial College London, London, UK.,Ethnicity and Health Unit, NIHR Applied Research Collaboration Northwest London, London, UK
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45
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Soga M, Gaston KJ. The dark side of nature experience: Typology, dynamics and implications of negative sensory interactions with nature. PEOPLE AND NATURE 2022. [DOI: 10.1002/pan3.10383] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022] Open
Affiliation(s)
- Masashi Soga
- Graduate School of Agricultural and Life Sciences The University of Tokyo Bunkyo Tokyo Japan
| | - Kevin J. Gaston
- Environment and Sustainability Institute University of Exeter Penryn UK
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Ewert A, Direnzo A. The Intersection of Natural Landscapes, Human Health, and Adventure Experiences: Linkages and Outcomes. ECOPSYCHOLOGY 2022. [DOI: 10.1089/eco.2021.0045] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
Affiliation(s)
- Alan Ewert
- Department of Health and Wellness Design, Indiana University, Bloomington, Indiana, USA
| | - Amy Direnzo
- Recreation, Parks and Leisure Studies, SUNY Cortland, Cortland, New York, USA
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Abstract
The way people perceive contact with nature may impact their environmental attitudes and psychological well-being (WB). Nature relatedness (NR) refers to the affective, cognitive, and experiential aspects of individuals’ connection to nature. The aim of the presented research concentrates on the assessment of the relationship between well-being, self-control and connectedness with the natural environment. The data was collected via online questionnaire between March and April 2022. In the study, we combined descriptive statistics with analysis of variance. We also quantitatively assessed correlations between major components of NR scale and psychological WB across men’ and women’ inquires. The results showed that there is a statistically significant relationship between the general index of NR and overall psychological WB. Furthermore, correlation between specific aspects of NR and WB subscales were also observed. These interactions are considerable among both men and women. We have also identified a major correlation between NR and self-control, which indicates the link between the way a person approaches oneself and natural environment. Finally, the analysis provides evidence that women are on average more related to nature, although the men may benefit more from this kind of relationship. Further gender differences could be observed in terms of nature-relatedness perspective component, general self-control, score and overall NR score These relationships are highly vital among men while irrelevant among women.
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Tambyah R, Olcoń K, Allan J, Destry P, Astell-Burt T. Mental health clinicians' perceptions of nature-based interventions within community mental health services: evidence from Australia. BMC Health Serv Res 2022; 22:841. [PMID: 35773704 PMCID: PMC9244442 DOI: 10.1186/s12913-022-08223-8] [Citation(s) in RCA: 7] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/16/2022] [Accepted: 06/20/2022] [Indexed: 12/02/2022] Open
Abstract
Background Mental health conditions are one of the largest burdens of disease in Australia and globally. There is a need to seek innovative and alternative interventions that can prevent and alleviate mental health symptoms. Nature-based interventions (NBIs), namely programs and activities where individuals engage with natural environments with the aim of improving their health and wellbeing (e.g., nature walking groups), may be such an alternative. This study aimed to explore the perceptions of mental health clinicians on the potential benefits of, and barriers to, implementing NBIs within a community mental health setting. Methods This study used a qualitative, exploratory research design. Fifteen mental health clinicians were recruited from the Illawarra Shoalhaven Local Health District, Australia, and interviewed (September–October 2021) about their perceptions of NBIs within mental health settings. The semi-structured interviews were analysed using an inductive thematic approach and managed with NVivo. Results Mental health clinicians viewed spending time in nature as relaxing, refreshing, and therapeutic. Many described it as part of their lifestyle and encouraged consumers to engage in nature-based activities on their own time. If NBIs were to be introduced as part of mental health services, clinicians expressed willingness to promote them to their consumers. Clinicians listed many potential benefits of NBIs for mental health consumers including improved mood, calmness and relaxation, a sense of empowerment, and social connections. Despite these benefits, clinicians were concerned about a variety of barriers to NBIs including consumers’ mental health symptoms such as anxiety or lack of motivation, scepticism, and geographic accessibility, as well as organisational barriers such as policies around safety risk. Conclusion Responding to the individual and organisational factors that could hinder the implementation of NBIs while building on the existing evidence of the positive impact of nature on health and wellbeing and, as demonstrated in this study, mental health clinicians’ interest and supportiveness of NBIs, mental health services should consider the implementation of NBIs as part of routine practice.
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Affiliation(s)
- Rachel Tambyah
- Illawarra Shoalhaven Local Health District, Warrawong, NSW, 2505, Australia
| | - Katarzyna Olcoń
- The University of Wollongong, Wollongong, NSW, 2522, Australia.
| | - Julaine Allan
- The University of Wollongong, Wollongong, NSW, 2522, Australia
| | - Pete Destry
- Illawarra Community Mental Health Rehabilitation Service, Warrawong, NSW, 2502, Australia
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Ross AM, Jones RJF. Simulated Forest Immersion Therapy: Methods Development. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:5373. [PMID: 35564767 PMCID: PMC9105281 DOI: 10.3390/ijerph19095373] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 02/28/2022] [Revised: 04/25/2022] [Accepted: 04/27/2022] [Indexed: 02/01/2023]
Abstract
Shinrin-yoku, forest bathing, may provide relief from chronic and breakthrough pain in patients with axial spondyloarthritis and improve immune function through increasing NK cell numbers and activity and their downstream effectors, perforin and granulysin, after chemo- or radiation therapy in breast and prostate cancer patients. The aim of this paper is to describe the study protocol for a simulated forest immersion therapy using virtual reality and atomized phytoncides, volatile organic compounds found in forested areas designed to effect positive change for these two patient populations. The setting, including the room set up and samples with inclusion/exclusion specific to this type of intervention, is outlined. Measures and calibration procedures pertinent to determining the feasibility of simulated forest immersion therapy are presented and include: ambient and surface room temperatures and relative humidity in real time, ambient ultrafine particulate matter, ambient droplet measurement that coincides with volatile organic compounds, specific phytoncides, and virtual reality and atomization of phytoncide set up. Particular lessons learned while training and setting up the equipment are presented. Simulated forest immersion therapy is possible with attention to detail during this early phase when development of methods, equipment testing, and feasibility in deploying the intervention become operational. The expected outcome of the development of the methods for this study is the creation of a standardized approach to simulating forest therapy in a controlled laboratory space.
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Affiliation(s)
- Amy Miner Ross
- School of Nursing, Oregon Health and Science University (OHSU), 3455 S. W. US Veterans Hospital Road, Portland, OR 97239, USA;
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Irvine KN, Fisher D, Marselle MR, Currie M, Colley K, Warber SL. Social Isolation in Older Adults: A Qualitative Study on the Social Dimensions of Group Outdoor Health Walks. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:5353. [PMID: 35564752 PMCID: PMC9103571 DOI: 10.3390/ijerph19095353] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 04/06/2022] [Revised: 04/19/2022] [Accepted: 04/23/2022] [Indexed: 12/05/2022]
Abstract
Physical distancing practices during the COVID-19 global pandemic contributed to a high degree of social isolation among older adults. To reduce loneliness and other ill effects of social isolation, public health experts recommended outdoor social gathering, with physical distancing. Adopting a case study approach, we explored how social aspects of group outdoor health walks (GOHWs) mitigate social isolation for older adults and improve individual social wellbeing. We used semi-structured interviews to understand the experiences of social isolation and social relationships in nine older (50-80 s) adults participating in a GOHW in Scotland, United Kingdom (UK). Verbatim transcripts were analysed through an iterative process of thematic analysis carried out by an interdisciplinary team of qualitative researchers from environmental psychology, medicine, and geography. Themes provide insight into the social dimensions of GOHWs, the mediating effects of social experiences, and the contribution these make to individual social wellbeing. GOHWs provide opportunities to be part of a group and attend to the needs of inexperienced or physically challenged individuals. Being part of the group walk fosters casual interpersonal interactions through spontaneous mixing during and after the walk. This programmatic structure counters loneliness, engenders pleasurable anticipation of regular contact with others, supports physical activity, and fosters group cohesion. These in turn contribute to individual social wellbeing, including expanding social networks, meaningful relationships, a sense of belonging, and acting on empathy for others. GOWHs may be beneficial for mitigation of social isolation as we emerge from the COVID-19 pandemic. Findings were used to propose a conceptual model to parse social constructs and inform selection or development of quantitative social measures for future studies of nature-based interventions such as GOHWs.
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Affiliation(s)
- Katherine N. Irvine
- Social, Economic and Geographical Sciences Department, James Hutton Institute, Aberdeen AB15 8QH, UK; (D.F.); (M.C.); (K.C.)
| | - Daniel Fisher
- Social, Economic and Geographical Sciences Department, James Hutton Institute, Aberdeen AB15 8QH, UK; (D.F.); (M.C.); (K.C.)
- School of Education, University of Glasgow, Glasgow G3 6NH, UK
| | - Melissa R. Marselle
- Environmental Psychology Research Group, School of Psychology, University of Surrey, Guildford GU2 7XH, UK;
| | - Margaret Currie
- Social, Economic and Geographical Sciences Department, James Hutton Institute, Aberdeen AB15 8QH, UK; (D.F.); (M.C.); (K.C.)
| | - Kathryn Colley
- Social, Economic and Geographical Sciences Department, James Hutton Institute, Aberdeen AB15 8QH, UK; (D.F.); (M.C.); (K.C.)
| | - Sara L. Warber
- Department of Family Medicine, University of Michigan, Ann Arbor, MI 48104, USA;
- Nova Institute for Health, Baltimore, MD 21231, USA
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